| NPI | 1255145819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARKER HEWES Business Manager 715-544-8964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-04 |