| NPI | 1053591990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | W PATRICK FLANAGAN Owner/Physician 262-542-9707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WI 29199020) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |