| NPI | 1164691986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL E OLSON Medical Director 414-291-1556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology |
| Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-04-20 |