| NPI | 1013118959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY G YUG Physician 414-325-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: WI 31502-020) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |