| 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 |