| 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 |