| NPI | 1124157227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE J. GEIGER-BRONSKY Executive Director 920-746-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 1029-033) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |