| NPI | 1467617886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ANTHONY GENCHEFF President 608-241-8848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: WI 24092-021) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |