| 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 |