NPI | 1770784167 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK RAKOWSKI President 414-266-6328 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WI 18757) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2023-02-02 |