| NPI | 1609040146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES H. NAGEL President 262-542-0860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WI 19016) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-23 |