| NPI | 1336467554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MOSES President/Owner 262-627-0995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 33535020) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |