| NPI | 1033140397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN SUE WILLHITE Executive Director 920-683-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2010-04-26 |