| NPI | 1124359880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIKI MISOVY Accounts Rep 414-961-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WI 25408) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2016-03-29 |