NPI | 1750482022 |
---|---|
Entity Type | Organization |
Authorized Contact | MONICA RICCA VP Revenue Cycle 414-266-2511 |
Organization Subpart ? | No |
Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: WI 135) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: WI 135) |
231H00000X Audiologist | |
291U00000X Clinical Medical Laboratory (Licence: WI 135) | |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI 135) | |
Enumeration Date | 2006-09-26 |
Last Update Date | 2019-07-16 |