| NPI | 1871556134 |
|---|---|
| Doing Business As | FMC PEDIATRICS WEST |
| Entity Type | Organization |
| Authorized Contact | DENISE K STROOBANTS Provider/Clinic Maintenance 920-445-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2008-05-20 |