NPI | 1538358007 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER GARVIN-CRESS President 920-683-9865 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 34329-020) |
Enumeration Date | 2007-10-19 |
Last Update Date | 2007-10-19 |