| NPI | 1669664926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BOEDER Physician/Owner 920-748-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WI 31521-020) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-12-31 |