NPI | 1679223366 |
---|---|
Doing Business As | OLEAN MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | CHRISTINE R STRADE CEO 716-376-2247 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2022-03-25 |
Last Update Date | 2022-03-25 |