| NPI | 1912560772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE LISA WILDNER Director Of Contracting & Researc 262-875-6572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other EEG |
| 261QS1200X Clinic/Center Sleep Disorder Diagnostic | |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |