| NPI | 1982015459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEE THILL Manager 715-923-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: WI 29899-020) |
| Enumeration Date | 2014-05-18 |
| Last Update Date | 2014-05-18 |