| NPI | 1972835627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN WILLIAM KERN President 262-542-9531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 17239) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2010-02-05 |