NPI | 1184882284 |
---|---|
Former Legal Business Name | STD SPECIALTIES CLINIC, INC. |
Entity Type | Organization |
Authorized Contact | SHEILA JHANSALE Medical Director 414-264-8800 |
Organization Subpart ? | No |
Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: WI 3476800) |
Enumeration Date | 2008-05-27 |
Last Update Date | 2015-09-16 |