| NPI | 1558386128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MARGARET CRAIG Practice Administrator 920-430-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-08-31 |