| NPI | 1417082629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL SERVAIS Billing Manager 920-983-9401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2014-01-22 |