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 |