NPI | 1689174948 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES POTTER Owner 262-825-8984 |
Organization Subpart ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WI 41829) |
Enumeration Date | 2018-02-13 |
Last Update Date | 2018-02-13 |