| NPI | 1942970405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC CADIEUX Corporate VP & CFO 414-266-6226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| 152W00000X Optometrist | |
| 152WP0200X Optometrist, Pediatrics | |
| 367H00000X Anesthesiologist Assistant | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2023-11-17 |