| NPI | 1942084199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A THUMS Director System Revenue Integrity 715-847-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |