| NPI | 1295122729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAN NELSON Assistant Treasurer 414-299-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 106H00000X Marriage & Family Therapist | |
| 207L00000X Anesthesiology | |
| 207R00000X Internal Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 208M00000X Hospitalist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2020-12-14 |