| NPI | 1114053048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER SIGMANN Medical Director 920-746-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WI 261Q00000X) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |