| NPI | 1063894723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER STONE Owner 262-843-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 38886) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |