Pai Participant 23 Sc

NPI #1528674801 in Shawano, Wisconsin

Provider Information

NPI Number
1528674801
Entity Type
Organization
Organization Name
Pai Participant 23 Sc
Primary Specialty
Internal Medicine - Geriatric Medicine
Enumeration Date
Sep 22, 2020
Last Updated
Sep 22, 2020

Practice Location

Address
1475 BIRCH HILL LN
ZIP Code
54166-3707
Phone
(715) 526-3161

Authorized Official

Name
ERIN LAIRD
Title
AUTHORIZED OFFICIAL
Phone
(410) 458-8713

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Geriatric MedicineGeriatric Medicine

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