| NPI | 1982636726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R DAVIS Owner 414-456-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 36170) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-10-23 |