NPI | 1225433949 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW JON GRBICH Owner 262-502-0028 |
Organization Subpart ? | No |
Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: WI 2924-26) |
Enumeration Date | 2014-10-23 |
Last Update Date | 2014-10-23 |