| NPI | 1356656771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GERALD WIMME Administrator 715-344-0607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |