| NPI | 1710409529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SALINAS CEO 414-736-1317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RR0500X Internal Medicine, Rheumatology | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2251S0007X Physical Therapist, Sports | |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2018-12-19 |