| NPI | 1922013655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET KIRKISH Office Manager 414-671-1449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 28948) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 28326) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 45393) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 39828) | |
| 363AM0700X Physician Assistant, Medical (Licence: WI 1915023) | |
| 363AM0700X Physician Assistant, Medical (Licence: WI 1176023) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2008-03-11 |