| NPI | 1912690439 |
|---|---|
| Doing Business As | KWIK TRIP CENTER FOR HEALTH, DEFOREST |
| Entity Type | Organization |
| Authorized Contact | JONATHAN LEIZMAAN President 615-468-6270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2025-08-15 |