NPI | 1508819178 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT J BECHARD President 920-969-1768 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology |
Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
Enumeration Date | 2006-05-17 |
Last Update Date | 2017-08-16 |