| NPI | 1336372176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARA HEGMAN Billing Supervisor 262-798-1910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 33351) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |