| NPI | 1770916827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL MATTHEW BRANDT CEO 715-531-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2023-05-08 |