| NPI | 1376927723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY HILL Executive 414-301-6381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2016-12-20 |