| NPI | 1477905529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE SCHNEIDER CEO 608-217-9776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2018-05-25 |