| NPI | 1588609648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS JAY AUGUSTIAN Chief Executive Officer 920-490-9046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 204E00000X Oral & Maxillofacial Surgery | |
| 207L00000X Anesthesiology | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207Y00000X Otolaryngology | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208200000X Plastic Surgery | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207T00000X Neurological Surgery | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2022-03-31 |