| NPI | 1679983241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE SCHNEIDER Practice Manager 608-217-9776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2018-01-22 |