| NPI | 1508851213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA MAITLAND SVP Finance 414-777-0979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WI 2014993545) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2024-02-27 |