| NPI | 1477937274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS J AUGUSTIAN CEO / Chief Executive Officer 920-490-9046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2022-04-13 |