| NPI | 1861527863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ROBERT DOBSON President 920-437-4366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 26550) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WI 26550) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2010-10-25 |