| NPI | 1952545147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALLACE W MCLEAN President 239-262-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME0025809) |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2009-05-01 |