| NPI | 1851390686 |
|---|---|
| Doing Business As | HEMOPHILIA OUTREACH CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMISON BUXTON Executive Director 920-965-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: WI 40681) |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site (Licence: WI 5123170) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2022-02-01 |