| 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 |