| NPI | 1477344554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN KANE President 414-305-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-05-16 |
| Last Update Date | 2025-05-16 |