| NPI | 1427271378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAN NELSON SVP 414-219-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2023-09-06 |