| NPI | 1447332887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABE FRANK GOLDBAUM President 262-366-1929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: WI 34054) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2010-12-01 |