| NPI | 1912246158 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ELIZA MAGDALENA PORTER Surgical Neurophysiology Technologi 715-271-9608 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other | 
| Enumeration Date | 2013-02-07 | 
| Last Update Date | 2013-02-07 |