| NPI | 1013175314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E CHURCH Managing Member 608-754-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WI 1444012) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |