| NPI | 1093633232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARWAN ALY President 414-395-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2026-07-07 |
| Last Update Date | 2026-07-07 |