| NPI | 1790092633 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KELLY ANNE GORDON-MEYER Advance Practice Nurse Prescriber 414-378-6212  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: WI 4138-33)  | 
| Enumeration Date | 2010-09-13 | 
| Last Update Date | 2010-09-13 |