| NPI | 1073801395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GELFMAN Clinic Director 414-640-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2023-12-06 |