| NPI | 1780451450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH JAMES Medical Director 920-809-2998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |