| NPI | 1134228133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUSOJI OYESANYA President 414-444-4484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WI 30809) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-10-05 |