NPI | 1831173699 |
---|---|
Entity Type | Organization |
Authorized Contact | COLLEEN M NICHOLS President 414-649-7202 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: WI 52D1047423) |
Enumeration Date | 2005-12-05 |
Last Update Date | 2022-07-21 |