| NPI | 1518079771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD D NIMMER Vice President 414-282-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 29409) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 29494) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-06-30 |