| NPI | 1508106261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS L CAIN Sole Member 920-445-7226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2013-04-22 |