| NPI | 1689780090 |
|---|---|
| Doing Business As | REDWOOD FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE J WIELAND Owner 707-443-4593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2011-10-13 |