| NPI | 1487001103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD ALI Manager 414-434-4248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 225100000X Physical Therapist | |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-09-12 |