| NPI | 1790045078 |
|---|---|
| Doing Business As | FMC IRON MOUNTAIN |
| Entity Type | Organization |
| Authorized Contact | DENISE K STROOBANTS Credentialing Specialist 920-445-7226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2020-02-26 |