| NPI | 1679014294 |
|---|---|
| Doing Business As | OAKLEAF CLINICS, PINE GROVE FAMILY MEDICINE |
| Other Name | OAKLEAF CLINICS SC-PINE GROVE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CHRIS R LONGBELLA Director 715-836-9242 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2022-09-21 |