| NPI | 1770505885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE C WILSON Owner/President 262-241-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2010-08-27 |