| NPI | 1851607170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC T CARDELLI President 920-968-5057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 33613) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |