| NPI | 1740424209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN MERRICK Office Manager 715-563-1588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: WI 48417-020) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2023-11-01 |