| NPI | 1639790678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI CZERNEJEWSKI CEO 414-242-5468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| 208M00000X Hospitalist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |