| NPI | 1316257967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LANDWEHR Owner/ Practioner 715-726-3096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 45925-020) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |