NPI | 1407343965 |
---|---|
Entity Type | Organization |
Authorized Contact | JODI M CZERNEJEWSKI CEO 414-312-5165 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
1041C0700X Social Worker, Clinical | |
207QA0401X Family Medicine, Addiction Medicine | |
207RI0200X Internal Medicine, Infectious Disease | |
207RP1001X Internal Medicine, Pulmonary Disease | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
208M00000X Hospitalist | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2018-04-19 |
Last Update Date | 2021-04-09 |