| NPI | 1396824074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNE L STAMNES Credentialing 920-433-3640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2010-04-20 |