| NPI | 1811667868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAPHANIE COOPER CEO 414-418-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-09-20 |