| NPI | 1215543954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAINT VICTOR ONE CEO/President 262-724-6867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-19 |