NPI | 1972389328 |
---|---|
Doing Business As | MIDWEST ENDOCRINE SURGERY, S.C. |
Entity Type | Organization |
Authorized Contact | DOUGLAS WISEMAN Surgeon Owner 775-600-9449 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Enumeration Date | 2023-09-01 |
Last Update Date | 2023-09-01 |