| NPI | 1972212587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAN NELSON EVP Financial Ops 414-299-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2022-11-22 |