| NPI | 1891259065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE LISA WILDNER Director Of Contracting And Researc 262-875-6572 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other EEG |
| 261QS1200X Clinic/Center Sleep Disorder Diagnostic | |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |