| NPI | 1538507603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK RICHARD PURATH Administrator 262-694-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 40525-20) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-11 |