| NPI | 1184805848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY A RIEDER Owner 414-727-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2024-07-22 |