| NPI | 1225150709 |
|---|---|
| Doing Business As | RETINA CONSULTANTS, UWMF |
| Entity Type | Organization |
| Authorized Contact | JEFFREY GROSSMAN President And CEO 815-399-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |