NPI | 1972724839 |
---|---|
Entity Type | Organization |
Authorized Contact | FREDERICK L SCHAUMBERG Physician 262-797-8600 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 24397) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 24253) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2012-05-09 |