| NPI | 1962543751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER GEISS, MD President 262-928-8669 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2022-05-24 |