| NPI | 1760618458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE LEE GROESSL Owner/Nurse Practitioner 920-434-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0000X Registered Nurse, Pain Management (Licence: WI 79614) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2009-07-15 |