| NPI | 1033406012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MARX PT A 920-321-4467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WI 1736-019) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |