NPI | 1073242194 |
---|---|
Entity Type | Organization |
Authorized Contact | JACOB HART Chief Operating Officer 414-430-0069 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2022-06-06 |
Last Update Date | 2024-08-19 |