| NPI | 1275660383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUANN MEYER Administrator 920-458-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 36416) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 36416) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |