| NPI | 1245308626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA RICCA VP Revenue Cycle 414-266-2511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| 207K00000X Allergy & Immunology | |
| 207NP0225X Dermatology, Pediatric Dermatology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208M00000X Hospitalist | |
| 225100000X Physical Therapist | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-11-05 |