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 |