| NPI | 1043503030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER GEISS, MD President 262-928-8669 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207Y00000X Otolaryngology | |
| 207ZH0000X Pathology, Hematology | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| 208000000X Pediatrics | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208600000X Surgery | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2022-05-23 |