NPI | 1679546584 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM M BEDUZE Office Administrator 262-567-1499 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
Enumeration Date | 2006-02-10 |
Last Update Date | 2008-01-30 |