| NPI | 1114471117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE GUILLIAMS-CHAN Chief Executive Officer 715-832-9467 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2022-11-18 |