| NPI | 1144466608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY THOMAS JUNIG Owner 920-923-9054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WI 32668-020) |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2009-01-05 |