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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI Number | 1275978983 |
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| LBN Legal business name | NUMALE MEDICAL CENTER LLC | ||||
| Authorized official | BRAD PALUBICKI - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/08/2013 | ||||
| Last updated | 05/08/2013 - About 13 years ago | ||||
| Identifiers |
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NUMALE MEDICAL CENTER LLC
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NUMALE MEDICAL CENTER LLC