| NPI | 1386861102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY GERARD MCAVOY President 262-547-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 22122) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2009-12-28 |