| NPI | 1124296926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE L MARSHALL Bookkeeper Secretary 608-983-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WI 60-00515) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-07-16 |