| NPI | 1447768411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MURPHY Medical Director 920-886-2213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2021-05-12 |