| NPI | 1619037918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRFANE M. KHATIB President 715-836-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| Enumeration Date | 2006-12-10 |
| Last Update Date | 2020-08-22 |