| NPI | 1407073497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH FISHER Office Manager 920-236-3290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 24373) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |