| NPI | 1518744986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA JAMES Manager Of Operations 262-444-5148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Additional Taxonomies | 208800000X Urology |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2026-07-13 |