| NPI | 1396295630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE KOPLIN Medical Director 608-827-2316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1100X Clinic/Center, Research (Licence: WI 31342) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |