| NPI | 1073783692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS GROSSMAN Finance Specialist 2 608-262-6465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |