NPI | 1225296874 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID HEITMANN Owner 608-271-8009 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: WI 4401-12) |
Enumeration Date | 2008-05-30 |
Last Update Date | 2008-05-30 |