| NPI | 1891121687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN LIMBERG Member 715-581-9861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IL 238.000371) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |