| NPI | 1235232810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE JEFFREY FRAZIN President 414-645-8977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 18499) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |