NPI | 1659704013 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRIS JAY AUGUSTIAN Chief Executive Officer 920-405-5382 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 29836) |
Enumeration Date | 2013-08-20 |
Last Update Date | 2022-04-20 |