| NPI | 1043710197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT ARNOLD Md 262-853-8613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WI 30182) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |