| NPI | 1255917647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI CZERNEJEWSKI CEO 414-242-5468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2021-03-24 |