NPI | 1295788743 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY J. BANACH Administrator 414-321-8960 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2006-05-18 |
Last Update Date | 2014-02-06 |