NPI | 1740207109 |
---|---|
Doing Business As | BROMENN MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | WILLIAM BROUWER President 309-268-2128 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
208000000X Pediatrics | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
Enumeration Date | 2006-07-15 |
Last Update Date | 2020-08-22 |