| NPI | 1336337187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASOOD WASIULLAH President 414-744-6589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2009-04-08 |