| NPI | 1336957711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA REIGLE Nurse Practitioner 262-643-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 333600000X Pharmacy | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2024-12-18 |