| NPI | 1104938331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA THERESA WALTER Office Manager 414-744-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2025-02-14 |