| NPI | 1538251335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES G MANION Billing Manager 414-281-0251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2008-02-21 |