| NPI | 1619934288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE KUHS Provider Relations Coordinator 414-465-3091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2017-01-31 |