| NPI | 1902215189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN D HOLZMACHER Medical Director 414-202-1724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: WI 42642-020) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-09-02 |