| NPI | 1073407433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WILLIAM ALLEN President 414-326-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-09 |