| NPI | 1043224041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER LENZ Office Manager 920-426-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 28027020) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2017-10-10 |