| NPI | 1659747194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEEP RAMANUJAM Medical Director 414-616-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6307-33) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |