Organization Name: | UNITY LIMITED PARTNERSHIP |
NPI Number: | 1508138892 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALISA A GERKE (EXECUTIVE DIRECTOR) |
Mailing Address: | 2366 Oak Ridge Cir De Pere |
State: | WI US |
Postal Code: | 541159207 |
Phone Number: | 9203381111 |
Fax Number: | 9203396795 |
NPI Enumeration Date: | 02/01/2012 |
NPI Last Update Date: | 09/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 1503 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |