| NPI | 1235150194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH MICHAEL ROSE Optometrist 414-384-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: WI 2879-035) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-08-22 |