| NPI | 1699812487 |
|---|---|
| Doing Business As | MIDWEST PHYSICIAN CENTER OF BRIDGEPORT |
| Entity Type | Organization |
| Authorized Contact | DEBORAH J NELSON CEO 708-747-7960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |