| NPI | 1942253950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN REARDON President 715-381-9566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WI 39295) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2010-03-17 |