| NPI | 1780032219 |
|---|---|
| Former Legal Business Name | AZH WOUND CENTER MKE LLC |
| Entity Type | Organization |
| Authorized Contact | VALERIE WAGNER Practice Manager 262-577-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2021-11-16 |