| NPI | 1609216456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE NIERZWICKI Manager 414-858-2208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: NC 20090-00061) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2017-04-20 |