| NPI | 1730608324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY JO BURNS Director Revenue Cycle Management 262-970-7825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2025-01-08 |