| NPI | 1417607136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY M LAUTZ Owner / President 414-241-5730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2022-08-25 |