| NPI | 1710458237 |
|---|---|
| Doing Business As | QLI PHYSICIAN'S CLINIC |
| Entity Type | Organization |
| Authorized Contact | TODD R SCHUITEMAN Vice President & CFO 402-573-3744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2019-07-23 |