| NPI | 1508500273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER COHRS Revenue Cycle Manager 715-847-2558 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-06-06 |