NPI | 1225293079 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY RADER Certified Dietitian 414-258-2255 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WI 827029) |
Enumeration Date | 2008-07-22 |
Last Update Date | 2008-09-12 |