NPI | 1295755023 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL WILSON Administrative Director 608-287-2230 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2006-07-21 |
Last Update Date | 2023-08-01 |