| NPI | 1902407786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI L ROTHENBURGER Clinic Manager 608-355-6993 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |