| NPI | 1669434338 |
|---|---|
| Doing Business As | EXTENDED HOURS |
| Entity Type | Organization |
| Authorized Contact | DENISE K STROOBANTS Provider/Clinic Maintenance 920-433-7864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2021-10-18 |