| NPI | 1437219334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN D. STENZEL Owner 715-831-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: WI 21859) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |