| NPI | 1710940465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL W HAYSSEN Billing Manager 414-858-2206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2008-02-22 |