| NPI | 1316107097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S FOOTERMAN President 920-451-8142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036083677) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |