| NPI | 1467948380 |
|---|---|
| Doing Business As | THE CLINIC AT LUTHER MANOR |
| Entity Type | Organization |
| Authorized Contact | ARTHUR ALLEN KEUP CFO 414-464-6396 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |