| NPI | 1255384301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HINKER Administrator 715-847-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 231H00000X Audiologist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2021-02-19 |