| NPI | 1205654068 |
|---|---|
| Doing Business As | REHAB LAB WISCONSIN |
| Entity Type | Organization |
| Authorized Contact | SAMUEL WAGNER Owner/Lead Doctor 262-344-1968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |