| NPI | 1073555033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN L PUJALS Practice Administrator 920-725-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: WI 42268-020) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-08-22 |