NPI | 1275003295 |
---|---|
Entity Type | Organization |
Authorized Contact | JODI M CZERNEJEWSKI Owner 414-242-5468 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
207RI0200X Internal Medicine, Infectious Disease | |
207RP1001X Internal Medicine, Pulmonary Disease | |
Enumeration Date | 2018-12-03 |
Last Update Date | 2020-04-30 |