| NPI | 1154790699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON EDWARDS Chief Financial Officer 715-387-5840 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 261QR0800X Clinic/Center Recovery Care |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2019-03-05 |