| NPI | 1386803757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH S KOSTRZEWSKI Physician 414-617-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WI 17121) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2014-04-02 |