| NPI | 1558751248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL T O'CONNOR Physician / Owner 262-297-3657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: WI 50669-020) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |