| NPI | 1063456424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN GARRETTO Office Manager 262-652-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RR0500X Internal Medicine, Rheumatology | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2008-04-20 |