| NPI | 1437660487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY SCHULTZ Credentialing Specialist 414-507-4741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 67608-20) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |