| NPI | 1538597521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA J JOHNSON FARMER Owner, CEO 414-777-5066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: WI 2798-33) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2015-08-04 |