| NPI | 1194182188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY KHAN President 262-697-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WI T059603) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |