NPI | 1952334054 |
---|---|
Doing Business As | PREMIER FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | GREGORY P WECKENBROCK Partner 859-341-5757 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2006-07-09 |
Last Update Date | 2007-09-21 |