| NPI | 1326169046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARIE ODEGAARD Director, Business Operations 414-289-3796 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-04-08 |