NPI | 1245372994 |
---|---|
Entity Type | Organization |
Authorized Contact | DAN CLEARY President 262-567-0227 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WI 21232) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2007-09-20 |