| NPI | 1679735997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE HARDY Office Manager 262-619-3473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WI 41940020) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2015-01-02 |