| NPI | 1831380096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BLAHNIK Cheif Practioner 715-675-6771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WI 451-0001) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |