| NPI | 1841465739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS G FENSKE President 414-385-2499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: WI 3459-033) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |