| NPI | 1598032328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY T FOLLANSBEE President 262-787-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 32725) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-11-22 |