| NPI | 1316250954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHABBAR SAJJAD Owner / President 262-293-3299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 53521) |
| Enumeration Date | 2010-07-25 |
| Last Update Date | 2023-11-02 |