| NPI | 1245387992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL I LEVINE Owner 414-778-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: WI 38379) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |