NPI | 1518915073 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHY KONDAS Officer 414-290-6718 |
Organization Subpart ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine |
Additional Taxonomies | 207P00000X Emergency Medicine |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-05-05 |
Last Update Date | 2019-08-28 |