| NPI | 1306927033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY WADE Director Of Finance 414-465-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RA0201X Internal Medicine, Allergy & Immunology | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RN0300X Internal Medicine, Nephrology | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 213E00000X Podiatrist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |