| NPI | 1063481869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL NESS Business Manager 262-549-0167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2007-08-20 |