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 |