| NPI | 1720574288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W JUNG CEO 262-412-6799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: WI 53681-20) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2019-07-24 |