| NPI | 1710611124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES TROMBI Provider Insurance Enrollment Speci 715-847-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2022-07-12 |