| NPI | 1932253267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL OLSON Privacy Officer 414-289-6796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WI 302R00000x) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |