| NPI | 1881765105 |
|---|---|
| Doing Business As | WILBERS FAMILY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | LONDA Y SWOBODA Fnp 573-564-3214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MO 102389) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2008-01-15 |