| NPI | 1285684506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M LETZER Secretary / Treasurer 262-786-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2011-12-02 |