| NPI | 1003677519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L POULSEN CFO 414-566-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |