| NPI | 1043394562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD P JENNINGS Physician Owner 920-887-8646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WI 29143) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-06-12 |