NPI | 1619219987 |
---|---|
Doing Business As | MIDWEST PHYSICIANS GROUP FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2013-03-25 |
Last Update Date | 2013-03-25 |