| NPI | 1851623961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVERY D ALEXANDER Medical Director 920-830-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2013-09-27 |