| NPI | 1285932582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JEAN SANFORD Vice President 715-514-0291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-10 |