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 |