| NPI | 1629103650 |
|---|---|
| Doing Business As | MEDICAL CLINIC OF OWENSVILLE |
| Entity Type | Organization |
| Authorized Contact | ELLEN SCHAUMBERG Cbo Director 573-486-1193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |