| NPI | 1831926450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN HAROLD HUNT Owner 920-251-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-24 |