| NPI | 1699720086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW LESTER Executive Vice President Finance 414-955-8704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 122300000X Dentist | |
| 152W00000X Optometrist | |
| 204E00000X Oral & Maxillofacial Surgery | |
| 204F00000X Transplant Surgery | |
| 207K00000X Allergy & Immunology | |
| 207L00000X Anesthesiology | |
| 207N00000X Dermatology | |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 207T00000X Neurological Surgery | |
| 208600000X Surgery | |
| 291U00000X Clinical Medical Laboratory | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2023-03-27 |