| NPI | 1447424718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LEE OWENS President/Doctor 608-251-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WI 35780-020) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-10-27 |