| NPI | 1235388604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG ALAN REICH President 414-270-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WI 36860) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2008-11-21 |