| NPI | 1952863359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALLIE SPRINGSTROH Director Of Operations 920-731-8131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |