| NPI | 1881874030 |
|---|---|
| Doing Business As | SOUTHEAST FAMILY MEDCENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID W. NIEDEREE President 316-788-6963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-05 |