| NPI | 1962717975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUN- YOUNG KIM Dr. 920-231-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WI 30908) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-10-07 |