| NPI | 1679518765 |
|---|---|
| Doing Business As | ADVENTIST MIDWEST GERATRICS SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | RUBY MANN Director Of Managed Care 6308-566-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2008-01-08 |