| NPI | 1982909115 |
|---|---|
| Doing Business As | ST CLOUD MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | STANLEY D MCLEMORE Senior Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |