NPI | 1518914357 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY T HANSMANN Authorized Official 920-459-8300 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
Enumeration Date | 2006-05-27 |
Last Update Date | 2012-01-31 |