| NPI | 1093052243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY G CONRARDY Authorized Official 262-763-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-01-08 |