| NPI | 1871644047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLISA RIVERA-ROBLES Family Nurse Practitioner 414-384-5420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WI 2826033) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2020-08-22 |