| NPI | 1558661991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNITH M. THOMPSON Owner/President 262-657-8360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 29980-020) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2023-03-07 |