| NPI | 1336310374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAIYIA VANG President 414-643-8815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WI 14421-020) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2016-11-03 |