| NPI | 1770843260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN L KAGEN President 920-739-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: WI 22210-20) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2012-05-18 |