| NPI | 1720137656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE K STROOBANTS Provider Clinic Maintenance 920-445-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |