| NPI | 1952478299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET PODLISECKI Office Manager 262-754-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 38648) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2025-03-19 |