| NPI | 1366776601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW G FLEMING President 414-446-3450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2024-12-12 |