| NPI | 1174584478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG PETER WATCHMAKER President 262-241-9224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0105X Surgery Surgery of the Hand (Licence: WI 37648) |
| Additional Taxonomies | 225XH1200X Occupational Therapist Hand (Licence: WI 3576026) |
| 225XH1200X Occupational Therapist Hand (Licence: WI 298026) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2023-09-12 |