| 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 |