| NPI | 1346751484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN K CZERWEIN Manager 800-310-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine (Licence: RI MD12647) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2018-10-08 |