| NPI | 1043274715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE K STROOBANTS Provider Clinic Maintenance 920-445-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2012-03-19 |