NPI | 1700833589 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFERY J ANDEREGG Authorized Official 715-234-1515 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
Enumeration Date | 2006-05-27 |
Last Update Date | 2020-08-22 |