| NPI | 1528423290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE WHITE Office Administrator 414-643-4987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WI 1154576) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |