| NPI | 1891106860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE NIERZWICKI Manager 414-858-2208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: NC 200400768) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2017-04-05 |