| NPI | 1295791002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY OGDEN Clinic Coordinator 920-458-7433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2009-11-12 |