NPI | 1871677419 |
---|---|
Doing Business As | BELLIN MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | DIRENDIA SHACKELFORD Managed Care Specialist 800-654-0889 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WI 24066020) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2020-08-22 |