NPI | 1982890349 |
---|---|
Entity Type | Organization |
Authorized Contact | BOYD ERIC ERDMAN President 608-831-7003 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WI 40938-020) |
Enumeration Date | 2007-09-19 |
Last Update Date | 2007-09-19 |