| NPI | 1134645542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE K STROOBANTS Credentialing Specialist 920-445-7226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2022-04-06 |