| NPI | 1841290384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALLACE W MCLEAN President 239-262-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME0025809) |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2008-10-27 |