Organization
FAMILY HEALTHCARE CLINIC, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL WILTZ M.D. (PRESIDENT)
(337) 394-7111
Entity
Organization
Contact information
Practice address
1117 N MAIN ST STE B, SAINT MARTINVILLE, LA 70582-3513
(337) 394-7111
(337) 394-8105
Mailing address
1117 N MAIN ST STE B, SAINT MARTINVILLE, LA 70582-3513
(337) 394-7111
(337) 394-8105
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
023274
LA
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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