| NPI | 1881819092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN E DURKIN President 414-271-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WI 24504) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WI 34875) |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: WI 40673) | |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2020-08-22 |