Wentworth Military Academy and Junior College

NPI #1669661393 in Lexington, Missouri

Provider Information

NPI Number
1669661393
Entity Type
Organization
Organization Name
Wentworth Military Academy and Junior College
Primary Specialty
Family Medicine
Enumeration Date
Oct 18, 2007
Last Updated
Oct 18, 2007

Practice Location

Address
1880 WASHINGTON AVE
ZIP Code
64067-1708
Phone
(660) 259-2221

Authorized Official

Name
MR. MICHAEL WILLAIM LIERMAN
Title
CHIEF OF STAFF
Phone
(660) 259-2221

Specialties & Taxonomy Codes

Specialty
Family Medicine

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