| 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 |