NPI | 1871903989 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIN MARIE ROONEY-GODIN Registered Nurse 414-573-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WI 156229-30) |
Enumeration Date | 2014-04-29 |
Last Update Date | 2014-04-29 |