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 |