| NPI | 1568732378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT STOLLENWERK President 262-691-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 171100000X Acupuncturist |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 253Z00000X In Home Supportive Care | |
| 152W00000X Optometrist | |
| 213E00000X Podiatrist | |
| 231H00000X Audiologist | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-07-03 |