NPI | 1881791010 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIK ADAMS President 608-831-3335 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WI 36872-020) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2011-09-19 |