| NPI | 1215008875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS P PELLER Director President 715-830-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 34997) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2009-03-10 |