| NPI | 1952648222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE HOLSCLAW President 262-565-7683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: WI 36684) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |