| NPI | 1700046117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JOHN SCHWAB Clinic Director 715-838-0827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WI 4037-012) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |