| NPI | 1225244668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANNE POLACHECK Physician 414-727-8199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2021-03-12 |