| NPI | 1861447179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAN NELSON Treasurer 414-299-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RH0003X Internal Medicine Hematology & Oncology | |
| 261Q00000X Clinic/Center | |
| 261QR0400X Clinic/Center Rehabilitation | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2024-05-01 |