| NPI | 1275811861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA J BAUER Electro Toxicologist 715-672-2000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: WI 123870-30) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2012-01-06 |