NPI | 1588110969 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHOK RAI President And CEO 920-496-4700 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
208800000X Urology | |
Enumeration Date | 2016-08-26 |
Last Update Date | 2022-01-12 |