| NPI | 1124804026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON RAASCH Owner 414-239-6248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center Infusion Therapy |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2084N0400X Psychiatry & Neurology Neurology | |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2025-11-04 |