| NPI | 1730550302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO KOHN Physician 608-216-5125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME110457) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2025-03-14 |