| NPI | 1275178444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY JO BURNS Director Revenue Cycle Management 262-970-7825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2025-01-08 |