| NPI | 1083948707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VISHAL LAL Chief Executive Officer 414-325-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2016-11-28 |