NPI | 1811766942 |
---|---|
Doing Business As | MILLENNIUM MEDICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | JUSTIN WIESNER Director 424-285-5385 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2023-12-29 |
Last Update Date | 2023-12-29 |