NPI | 1881819092 |
---|---|
Entity Type | Organization |
Authorized Contact | GRETCHEN E DURKIN President 414-271-4141 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: WI 40673) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WI 24504) |
207Y00000X Otolaryngology (Licence: WI 34875) | |
Enumeration Date | 2007-04-14 |
Last Update Date | 2025-09-11 |