| NPI | 1023734803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENT WALKER DIETSCHE Physician Medical Director 262-364-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2023-07-10 |