| NPI | 1700022936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN M HARRIS Plan President 414-847-1765 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WI 18011) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2011-05-18 |