| NPI | 1699183343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON BAAKE CEO 414-336-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA MD431468) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 363L00000X Nurse Practitioner (Licence: WI WI-112764) | |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |