NPI | 1386630861 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM P LEFEBER President 414-271-2721 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: WI 23129) |
Additional Taxonomies | 207N00000X Dermatology (Licence: WI 33345) |
207N00000X Dermatology (Licence: WI 38666) | |
Enumeration Date | 2005-09-21 |
Last Update Date | 2020-08-22 |