| NPI | 1831256866 |
|---|---|
| Other Name | MERCY FAMILY PRACTICE SERVICE CORPORATION |
| Entity Type | Organization |
| Authorized Contact | KEVIN P ROSTEING Business Manager 920-347-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2015-03-04 |