| NPI | 1538492038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY DEWAYNE MCCLAIN CEO 608-443-9420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TX n3408) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |