| NPI | 1790895654 |
|---|---|
| Doing Business As | MERCYONE CLEAR LAKE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MARK C TRAMMEL VP Fianance 641-428-7984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-10-18 |