| NPI | 1144927583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THADDEUS SCHUMACHER Director 608-274-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2025-01-23 |