| NPI | 1841643897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL D THOMAS President/Owner 414-551-2911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 47171) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 47171) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-15 |