| NPI | 1144944349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY A PATTEE Practice Manager 920-356-6416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2024-01-11 |