| NPI | 1114942315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE C. SCHUENEMANN Senior Billing Specialist 414-325-3725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-02-01 |