NPI | 1477819902 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLEY RENZELMANN Administrator 920-452-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology |
Enumeration Date | 2012-04-10 |
Last Update Date | 2022-10-11 |