| NPI | 1114356029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY ANN CARMODY Apnp 414-350-6807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WI 3690-033) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2013-11-01 |