| NPI | 1760589048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN BOYD HILDAHL Physician/ Owner 239-593-5510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME72896) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |