| NPI | 1740859347 |
|---|---|
| Doing Business As | UNIVERSITY CLINICIANS MINI-CLINIC |
| Entity Type | Organization |
| Authorized Contact | JUDE P JEAN-PIERRE CEO 920-470-7480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2021-06-18 |