| NPI | 1962543728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER GEISS, MD President 262-928-8669 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2022-05-24 |