| NPI | 1801337357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYL M HAMILTON Medical Director 608-720-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WI 38002-020) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |