NPI | 1992864821 |
---|---|
Other Name | STUDENT HEALTH SERVICE |
Entity Type | Organization |
Authorized Contact | TAD SEARS Dirctor Schwb 218-723-6017 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2006-12-06 |
Last Update Date | 2020-08-22 |