| NPI | 1801373378 |
|---|---|
| Doing Business As | POTAWATOMI WORKPLACE CLINIC |
| Entity Type | Organization |
| Authorized Contact | RANDALL NEWMAN VP Finance 414-777-7963 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |