| NPI | 1407868334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY F GOGGINS Chief Medical Officer/Physician 920-749-1171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| 332900000X Non-Pharmacy Dispensing Site | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2017-04-12 |