| NPI | 1275513806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P VRABEC Co Executive Director 920-731-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2010-10-11 |