| NPI | 1538356985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD DALE DAVIS President 920-433-7516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 30054) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-12 |