NPI | 1972835551 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN SANTINO President 920-254-2105 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: WI 44315) |
Enumeration Date | 2010-02-05 |
Last Update Date | 2010-02-05 |