| NPI | 1073940235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIA MOUSSAVI President 414-541-7158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: WI 34544) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |