NPI | 1003811993 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC G EBERTS CEO 920-729-7105 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 41754-20) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2005-06-16 |
Last Update Date | 2022-04-27 |