| NPI | 1366487241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VISHAL LAL Executive Administrator 414-325-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2016-10-24 |