| NPI | 1841286291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA KUSMIEREK Billing Lead 414-219-7845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2008-01-22 |