NPI | 1871586651 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURIE LEE WOLF Administrator 715-843-1199 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
Enumeration Date | 2005-08-26 |
Last Update Date | 2011-10-17 |