| NPI | 1710984562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE ANNE DREVNICK President 715-531-6710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WI 173-156) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2014-06-20 |