| NPI | 1518104470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYJO HOLEWINSKI Office Manager 920-433-9621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-21 |