| NPI | 1235281189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LEE FACER Otolaryngologist 715-831-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WI 44656) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-05-01 |