| NPI | 1699307751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JURG W. J. OGGENFUSS Chief Medical Officer 414-614-5832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |