NPI | 1255582078 |
---|---|
Entity Type | Organization |
Authorized Contact | JOYCE ROSE GRUNERT Administrator 414-281-9824 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
Enumeration Date | 2008-10-10 |
Last Update Date | 2008-10-10 |