| NPI | 1508045113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN KERKHOFF Manager 920-831-6135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 44645) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-11-07 |