NPI | 1659454924 |
---|---|
Doing Business As | MORGAN-HAUGH MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | MARTIN P BRAAKSMA Administrator 270-650-7138 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: KY 27345) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: KY 00328) |
363L00000X Nurse Practitioner (Licence: KY 2813P) | |
231H00000X Audiologist (Licence: KY 917) | |
207Q00000X Family Medicine | |
207Y00000X Otolaryngology | |
208000000X Pediatrics (Licence: KY 41115) | |
Enumeration Date | 2006-10-23 |
Last Update Date | 2008-12-10 |