| NPI | 1104264241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN D PECK Nurse Practitioner 715-598-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WI 325-33) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-24 |