| NPI | 1881906832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERRY KUNKEL Sci Outpatient Clinic RN 414-384-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: WI 126285-30) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2010-07-07 |