| NPI | 1184841660 |
|---|---|
| Doing Business As | BROTOLOC |
| Entity Type | Organization |
| Authorized Contact | GARY S JOHNSON Vice President 262-473-0480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 1115) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |