| NPI | 1124865092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CHRISTMAN Administrator 262-524-1024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-09 |