| NPI | 1184837353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY E ERDMAN Owner (CEO) 920-882-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WI 616-025) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2011-09-13 |