| NPI | 1831461326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED N HASNAIN Medical Director 414-873-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WI 43966-020) |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2012-01-31 |