| NPI | 1659666378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD STAUDACHER Director 262-227-6589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 31083-20) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 31083-20) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-06-14 |