NPI | 1699744573 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN DAVID SUSON Managing Doctor 414-475-5550 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 34950) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 33392) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2012-11-12 |