Ninak Inc.

NPI #1033437132 in Jackson, Wyoming

Provider Information

NPI Number: 1033437132
Entity Type: Organization
Organization Name: Ninak Inc.
Primary Specialty: Family Medicine
Enumeration Date: May 13, 2010
Last Updated: May 13, 2010

Practice Location

Address: 170 E BROADWAY
City: Jackson
State: Wyoming
ZIP Code: 82001-9906
Phone: (307) 203-9239

Authorized Official

Name: MR. MICHAEL JOHN LEE, M.D.,
Title: FAMILY PRACTICE
Phone: (307) 203-9239

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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