| NPI | 1952534497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY L PROWATZKE Medical Doctor 262-798-1910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 31478) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2009-09-09 |