| NPI | 1417910787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE K STROOBANTS Credentialing Specialist 920-433-7864 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RM1200X Internal Medicine, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2021-10-18 |