| NPI | 1689656951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MERKT Chief Executive Officer 262-303-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2023-05-26 |