| NPI | 1194009563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH R BEIER-ABDELMAWGOUD Owner 414-418-8187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WI 734-055) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |