| NPI | 1407151467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRINIVAS R PANJA Owner 715-330-9331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX N7647) |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2018-07-25 |