| NPI | 1659696029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW THOMAS CLANCY President 715-573-0760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |