| NPI | 1871583203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE MARIE KASDORF President 920-468-9588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2016-07-18 |