NPI | 1881192987 |
---|---|
Doing Business As | DECATUR FAMILY MEDICINE - WOODCREST CONNECTION |
Entity Type | Organization |
Authorized Contact | DANE WHEELER CFO 260-724-2145 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
Enumeration Date | 2018-01-24 |
Last Update Date | 2018-01-24 |