| NPI | 1700809910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GERARD FRITSCHE President 920-336-6594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 3048-015) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |