NPI | 1699829192 |
---|---|
Former Legal Business Name | ALLERGY CENTERS OF MILWAUKEE,S.C. |
Entity Type | Organization |
Authorized Contact | TERRY S GRAVES President 414-475-9101 |
Organization Subpart ? | No |
Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy |
Enumeration Date | 2007-01-22 |
Last Update Date | 2020-08-22 |