| NPI | 1760560148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG LINDSEY SKOLD Owner/Physician 414-570-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: WI 261QU0200X) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2017-08-22 |