| NPI | 1154765410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RATIDZAI RIOGA President 414-771-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 41265) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WI 41265) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2024-05-15 |