| NPI | 1356397475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE GAYNOR Authorized Official 262-569-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2025-09-11 |