NPI | 1396896684 |
---|---|
Entity Type | Organization |
Authorized Contact | NAN NELSON EVP Financial Ops 414-299-1610 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7001779) |
Enumeration Date | 2007-01-15 |
Last Update Date | 2024-02-09 |