| NPI | 1487991824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY G CONRARDY Authorized Official 262-763-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2013-01-04 |