| NPI | 1245212414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAY JAMISON FRANK President 414-988-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WI 574150-9) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2011-07-06 |