| NPI | 1790920825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRET A. WITTMER Owner 270-825-8345 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 171100000X Acupuncturist |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2009-08-12 |