| NPI | 1902905839 |
|---|---|
| Other Name | LEGAL BUSINESS NAME |
| Entity Type | Organization |
| Authorized Contact | CHA LEE Doctor Owner 414-616-8901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 42508020) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2010-10-04 |