| NPI | 1780684647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH JAY GOODMAN President 414-332-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2022-07-21 |