| NPI | 1104001098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINA TSENG Owner 414-393-9833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 49141-020) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |