| 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 |