| NPI | 1467405589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE K STROOBANTS Provider/Clinic Maintenance 920-445-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |