| NPI | 1053321620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA PERRONNE Administrator 920-882-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2024-07-23 |