| NPI | 1437829975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W DEGERE Secretary/Treasurer 920-320-2095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2025-07-07 |