| NPI | 1578510798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRINIVAS R BRAMHADEVI President/Owner 262-352-2187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 45129) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-08-22 |