| NPI | 1982770095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN P FEUERBACH President 262-652-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WI 30201) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2014-02-20 |