| NPI | 1629119417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER GEISS, MD President 262-928-8669 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207K00000X Allergy & Immunology | |
| 207Q00000X Family Medicine | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2022-05-23 |