| NPI | 1982096772 |
|---|---|
| Doing Business As | OAKLEAF CLINICS, OAKLEAF PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | CHRIS R LONGBELLA Director 715-836-9242 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2022-09-21 |