| NPI | 1275978983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD PALUBICKI President 414-292-0450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: WI 49753-20) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |