| NPI | 1295783496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDNEY HERSZENSON Owner 414-258-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WI 18537) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2012-06-04 |