| NPI | 1083575401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L POULSEN Chief Financial Officer 414-566-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-11-24 |
| Last Update Date | 2025-11-24 |