| NPI | 1740575182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACIEJ GERARD OSSOWSKI President 209-722-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A38380) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2012-07-20 |