| NPI | 1922230150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH W BACKSTRAND President 239-418-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME0050622) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2010-01-20 |