| NPI | 1871584730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E MICHAEL LEWIECKI Owner/President 505-855-5525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2007-11-20 |