| 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 |