| NPI | 1598131096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI HUYCK President And CEO 414-289-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 20152297) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |