| NPI | 1437348059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JUDE MEYER President 920-465-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WI 3519-012) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2024-05-16 |