Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neonatal Intensive Care |
163WN0002X |
| NPI # | 1407126071 |
| LBN Legal business name | PORTERCARE ADVENTIST HEALTH SYSTEM |
| Authorized official | RANDY BUCHNOWSKI - (COO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/12/2012 |
| Last updated | 01/12/2012 - About 14 years ago |
| Identifiers | n/a |
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