| NPI | 1104138882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA M DEMERY President 920-277-9716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: WI 32560) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-11-29 |