| NPI | 1720218647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN R DEAN President 262-787-6707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2020-12-28 |