| NPI | 1740303395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY H SHARATA Dermatologist,Medical Director 608-826-0825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WI 35716020) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-06-10 |