| NPI | 1396193033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DONALD MATTEUCCI President 414-761-0981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |