NPI | 1265954424 |
---|---|
Entity Type | Organization |
Authorized Contact | JODI CZERNEJEWSKI COO 262-510-6350 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
Enumeration Date | 2017-07-10 |
Last Update Date | 2018-09-11 |