| NPI | 1053101303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MARIA JOHNSON Certified Surgical First Assistant 414-491-1665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2025-05-09 |