| NPI | 1366243891 |
|---|---|
| Doing Business As | ST JOHNS UROLOGY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL KONGNYUY President 608-738-8867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-03-21 |