| NPI | 1952734691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE QUADE CFO 608-251-4156 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2024-05-16 |