| 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 |