NPI | 1942524780 |
---|---|
Entity Type | Organization |
Authorized Contact | KELSEY A PATTEE Practice Manager 920-885-5225 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2010-03-23 |
Last Update Date | 2024-01-11 |