| NPI | 1437274115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH GRAY Assistant Administrator 608-364-1348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: WI 32834) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |