| NPI | 1366409658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAZIH JOHN YOUSIF President 414-352-2766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WI 24830) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2008-10-24 |