| NPI | 1851473698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI FEUCHT Assistant Business Manager 262-338-2717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2022-07-21 |