| NPI | 1013448786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SALINAS CEO 414-736-1317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101052872) |
| 2083S0010X Preventive Medicine, Sports Medicine | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |