| NPI | 1720371719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER GEISS, MD President 262-928-8669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2021-09-08 |