| NPI | 1417964016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHESTER DURNAS President 920-451-8142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036073836) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |