| NPI | 1992993232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVIKANT MASKI Partner 608-348-4677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 23470) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 23145-020) |
| 208000000X Pediatrics (Licence: WI 23470) | |
| 208600000X Surgery (Licence: WI 23145-020) | |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2014-06-10 |