| NPI | 1326183757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARROLL MCKINLEY MARTIN President 262-656-8895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 20424) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-11-06 |