| NPI | 1417612508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANA SHEREE VARNELL Prenatal Care Coordination 414-239-1497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-11-03 |