| NPI | 1912691437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADIA ADNANN POLANI Office Manager 715-773-0148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2023-06-07 |