25.06.2026
Local AI for Medical Practices: §203, Patient Data and RAG
How medical practices can process letters, findings and guidelines locally and integrate AI with their PMS.
#AI#MedicalPractice#DataProtection
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§203 · Patient data · PMS
GDPR- and §203-Compliant Local AI for Medical Practices
A familiar AI chat for practice knowledge, templates and preparatory documentation. The platform runs in the practice network; data sources and integrations are configured in a controlled way.
Processing in the practice networkPMS connection after an interface and permissions reviewQuiet operation in the practice network instead of a server room
Companies worldwide trust WZ-IT
The situation
What must be clarified before using AI
Doctor's letters, findings and histories take time - public AI services add data paths outside the practice.
Health data requires particularly clear limits on data sources, access permissions and traceable processing.
A DPA with the provider does not replace medical confidentiality.
Legal framework
GDPR- and §203-compliant local AI
We configure and operate AI Cube Pro for GDPR- and §203-compliant use when required. This includes controlled data paths, limited permissions, documented maintenance, the appropriate DPA and written secrecy obligations for the people involved.
What §203 StGB prohibits
§203 StGB protects confidential information entrusted by clients, patients and other parties. The necessary involvement of contributing persons is permitted. What matters is that access is limited to what is necessary, the people involved are bound to secrecy and the complete data and maintenance path is controlled.
Why cloud AI is the problem
With public AI services, inputs and documents leave your own infrastructure. Whether a service is suitable in a specific case therefore depends not only on a DPA, but also on data flows, subprocessors, access permissions and the actual use.
Why local processing helps
On-premises inference, local vector search and internally operated interfaces keep technical processing in your controlled environment. This reduces external data paths and subprocessors and allows access to be limited precisely.
Managed service with a secrecy obligation
When we provide setup or operations as a contributing person, the people involved accept a written secrecy obligation and are instructed about the criminal consequences. Where personal data is involved, this is combined with a DPA, limited administrative rights and documented maintenance paths.
What we deliver for it
These technical and contractual building blocks form part of the agreed §203 scope:
AVV
Data-protection layer
Written secrecy obligation
Secrecy and instruction on criminal consequences
Maintenance and access concept
necessary rights, logging and controlled paths
This content is general information and not legal or tax advice. The specific implementation under §203 must be reviewed professionally on a case-by-case basis.
AI Cube Pro
AI Cube Pro as a local AI platform in the practice network
AI Cube Pro brings a familiar AI chat, local models and dedicated knowledge areas into the practice. Staff can use approved templates and documents as knowledge. PMS connections and automated data flows are assessed and implemented separately.
Ready for use in under two weeks after configuration approval
AI Cube Pro
EUR 5,999 excl. VAT
- Hardware with 128 GB unified memory
- Open WebUI and a local model runtime
- A local model agreed, installed and tested in advance
- Base setup, hardening and functional testing
- Five hours of initial setup and support
- Configurable for GDPR- and §203-compliant operation
Expandable when required
RAG, data sources, integrations, secure connectivity and custom workflows are scoped separately.
Operable for the long term
Optional managed operations from EUR 149.90 excl. VAT per AI Cube and month; §203 scopes include a DPA, limited administrative rights, written secrecy obligations for the people involved and instruction on the criminal consequences
Use cases
Where local AI can assist
These examples describe possible workflows. Data sources, permissions and professional review are defined for the concrete use case.
Drafts for medical letters and findings reports from approved input
Preparatory structuring and summarisation of documentation
Preparatory coding support with professional review
Templates for patient communication
RAG research in guidelines and medical literature
Our approach
Advise. Build. Operate. From one team.
Sovereign AI is a lifecycle, not a device purchase - and everything stays on your infrastructure.
01
Advise & design
Workshop, sizing, data classification and §203 contract framework. We understand your stack, professional software and compliance requirements before we recommend.
02
Build & integrate
On-premise build on your hardware, RAG on your documents with access control, integration into your professional software, secrecy obligation + DPA.
03
Operate & maintain (optional)
Updates, monitoring, model upgrades and RAG maintenance as a service contract - or you operate fully yourself. Handover and knowledge transfer included.
From one house
The full service range for your local AI
From hardware and inference through RAG and integration to operations and security - no interface ping-pong between advice, build and operations.
Local AI infrastructure
Knowledge & RAG
Integration & development
Enquiry
Assess local AI for Medical Practice & MVZ
Describe the workflow and data that should be processed locally or in a controlled environment.
Frequently asked questions
Yes. We configure the platform for the defined purpose with local processing, limited data sources, roles and documented access paths. The practice defines which data and workflows are approved.
We limit and document data sources, user permissions, external connections and maintenance access. Managed operations include the appropriate DPA and written secrecy obligations for the people involved, including instruction on the criminal consequences.
We assess this based on the PMS in use, available interfaces and the desired workflow. A PMS connection is a separate integration project.
We usually deliver the AI Cube Pro fully preconfigured within two weeks after configuration approval. Professional-software connections, automated RAG pipelines or larger infrastructure are planned separately.
Common open-source LLMs (e.g. Llama, Qwen, Mistral, Gemma) on NVIDIA hardware - from the AI Cube as a GB10 appliance for a single practice to an RTX GPU server for larger institutions. No vendor lock-in; model choice follows your hardware.
We document data flows, roles, technical safeguards and operational responsibility. For a §203 scope, we conclude the appropriate DPA and require the people involved to accept a written secrecy obligation that includes instruction on the criminal consequences.
The AI Cube Pro costs €5,999 net including initial setup and five hours of support. Integrations and larger deployments are quoted separately; optional ongoing operations start at €149.90 net per month.
Yes. We hand over with documentation and train your team - you can operate fully yourself. Maintenance, updates, model upgrades and RAG upkeep are available optionally as a contract, but are not mandatory.
Blog & Tutorials
Related Tutorials & Guides
Reviews
What clients say about working with us
From local AI integration to architecture, data sovereignty and ongoing operations.
H
GermanyLocal AI IntegrationTechnical IntegrationImplementation
“While looking for a partner to integrate a local AI solution, we came across Timo and Robin - and could not have made a better decision. They quickly understood our requirements and solved technical challenges competently and pragmatically. We were particularly impressed by the straightforward collaboration, their high level of expertise and the speed of implementation. We are delighted to have Timo and Robin at our side as reliable business partners and look forward to our next projects together. (translated)”
Henrik Jeche
Head of IT Administration
ml&s - full-service provider for the electronics industry.
GermanyInfrastructure ModernizationData SovereigntyGDPRDocumentation
“Communication with WZ-IT was open, friendly and professional from the very beginning. Mr. Wevelsiep and Mr. Zins responded to every one of our questions patiently, promptly and respectfully, and contributed their own suggestions and good ideas on how to modernize our server infrastructure and adapt it even better to our needs. Throughout, WZ-IT consistently kept our need for data sovereignty and GDPR compliance in mind. Even short-notice adjustments and change requests from our side were implemented quickly and patiently and integrated consistently into the overall concept. From planning to the final handover, every step was documented transparently and comprehensively - so if a provider change should ever become necessary, the documentation would let us onboard a successor into our infrastructure very quickly. We are extremely satisfied with WZ-IT and hope to continue working together for a long time.”
Christoph Mußmann
Project Officer, DGHO e.V.
DGHO - German Society for Hematology and Medical Oncology.
GermanyOpen Source ArchitectureImplementationTechnical Consulting
“We have had very good experiences with Mr. Wevelsiep and WZ-IT. The consultation was professional, clearly understandable, and at fair prices. The team not only implemented our requirements but also thought along and proactively. Instead of just processing individual tasks, they provided us with well-founded explanations that strengthened our own understanding. WZ-IT took a lot of pressure off us with their structured approach - that was exactly what we needed and is the reason why we keep coming back. (translated)”
Matthias Zimmermann
Managing Director, Annota GmbH
Annota - healthtech startup with an AI documentation assistant.
GermanyArchitecture ConsultingSovereign Software SelectionOpen Source Strategy
“I got to know Timo and Robin as dedicated and professional partners who make a lot of things possible for their clients that initially seem impossible. I felt very well advised. The services offered have thoroughly convinced me. (translated)”
Andrea Pawlowski
Communications Manager, Golem.de
Golem.de - leading German IT news outlet.
GermanyProxmox & BackupProxmoxBackupDocumentation
“Professional, honest and technically thoroughly sound: WZ-IT set up our Proxmox and backup infrastructure securely and future-proof. The consulting from Timo and Robin was objective and needs-driven, the implementation smooth and the final documentation exemplary. You can tell immediately that business-critical infrastructure is thought through holistically from the outset here and implemented with clear ownership.”
Pascal Block
Project Manager, Stadtwerke Brühl GmbH
Stadtwerke Brühl - municipal energy and infrastructure utility.
GermanySoftware DevelopmentPHP ModernizationAPI Extension
“With Timo and Robin, you're not only on the safe side technically - you also get the best human support! Whether it's quick help in everyday life or complex IT solutions: the guys from WZ-IT think along with you, act quickly and speak a language you understand. The collaboration is uncomplicated, reliable and always on an equal footing. That makes IT fun - and above all: it works! Big thank you to the team! (translated)”
Sonja Aßer
Data Manager, ARGE
ARGE Neue Medien - master data & digital standards for plumbing and building technology.
UAECloud MigrationAWS ExitProxmox81% Cost Reduction
“I recently worked with Timo and the WZ-IT team, and honestly, it turned out to be one of the best tech decisions I have made for my business. Right from the start, Timo took the time to walk me through every step in a simple and calm way. No matter how many questions I had, he never rushed me. The results speak for themselves. With WZ-IT, we reduced our monthly expenses from $1,300 down to $250. This was a huge win for us.”
Aleksandr Shuliko
CTO, EVA Real Estate
EVA Real Estate - leading real-estate agency in Dubai.
SwitzerlandManaged ProxmoxClusterMonitoringHigh Availability
“WZ-IT manages our Proxmox cluster reliably and professionally. The team handles continuous monitoring and regular updates for us and responds very quickly to any issues or inquiries. They also configure new nodes, systems, and applications that we need to add to our cluster. With WZ-IT's proactive support, our cluster and the business-critical applications running on it remain stable, and high availability is consistently ensured. We value the professional collaboration and the noticeable relief it brings to our daily operations.”
Pascal Hakkers
Aphy AG
Aphy AG - AI platform for hotel back-office.
GermanyProxmox & VirtualizationBackupVPNSecurity
“WZ-IT provided very competent support in implementing our server and virtualization infrastructure. As part of the project, a Proxmox-based virtualization environment was set up along with a virtual machine for our application systems. Additionally, a structured backup concept was implemented. A particular focus was on security: the setup of a VPN tunnel and the clean implementation of encryption and access concepts were professionally executed. The structured consulting as well as the reliable and swift implementation deserve special mention. We are very satisfied with the services provided and are happy to recommend WZ-IT.”
John Hellmerichs
Managing Director, AInergy GmbH
AInergy - consultancy for energy and facility management.
BulgariaSovereign CollaborationOpen Source StackOperationsMaintenance
“Timo and Robin from WZ-IT set up a RocketChat server for us - and I couldn't be more satisfied! From the initial consultation to the final implementation, everything was absolutely professional, efficient, and to my complete satisfaction. I particularly appreciate the clear communication, transparent pricing, and the comprehensive expertise that both bring to the table. Even after the setup, they take care of the maintenance, which frees up my time enormously and allows me to focus on other important areas of my business - with the good feeling that our IT is in the best hands. I can recommend WZ-IT without reservation and look forward to continuing our collaboration! (translated)”
Sebastian Maier
Managing Director, Yonju GmbH
Yonju - business coaching and AI products.
SpainProduction DeploymentCI/CDPaaSOperations
“Counting on WZ-IT team was crucial, their expertise and solutions gave us the pace to deploy in production our services, even suggesting and performing improvements over our configuration and setup. We expect to keep counting on them for continuous maintenance of our services and implementation of new solutions.”
Gabriel Sanz Señor
Managing Director, Odiseo Solutions
Odiseo Solutions - software engineering for the space industry.
H
GermanyLocal AI IntegrationTechnical IntegrationImplementation
“While looking for a partner to integrate a local AI solution, we came across Timo and Robin - and could not have made a better decision. They quickly understood our requirements and solved technical challenges competently and pragmatically. We were particularly impressed by the straightforward collaboration, their high level of expertise and the speed of implementation. We are delighted to have Timo and Robin at our side as reliable business partners and look forward to our next projects together. (translated)”
Henrik Jeche
Head of IT Administration
ml&s - full-service provider for the electronics industry.
GermanyInfrastructure ModernizationData SovereigntyGDPRDocumentation
“Communication with WZ-IT was open, friendly and professional from the very beginning. Mr. Wevelsiep and Mr. Zins responded to every one of our questions patiently, promptly and respectfully, and contributed their own suggestions and good ideas on how to modernize our server infrastructure and adapt it even better to our needs. Throughout, WZ-IT consistently kept our need for data sovereignty and GDPR compliance in mind. Even short-notice adjustments and change requests from our side were implemented quickly and patiently and integrated consistently into the overall concept. From planning to the final handover, every step was documented transparently and comprehensively - so if a provider change should ever become necessary, the documentation would let us onboard a successor into our infrastructure very quickly. We are extremely satisfied with WZ-IT and hope to continue working together for a long time.”
Christoph Mußmann
Project Officer, DGHO e.V.
DGHO - German Society for Hematology and Medical Oncology.
GermanyOpen Source ArchitectureImplementationTechnical Consulting
“We have had very good experiences with Mr. Wevelsiep and WZ-IT. The consultation was professional, clearly understandable, and at fair prices. The team not only implemented our requirements but also thought along and proactively. Instead of just processing individual tasks, they provided us with well-founded explanations that strengthened our own understanding. WZ-IT took a lot of pressure off us with their structured approach - that was exactly what we needed and is the reason why we keep coming back. (translated)”
Matthias Zimmermann
Managing Director, Annota GmbH
Annota - healthtech startup with an AI documentation assistant.
GermanyArchitecture ConsultingSovereign Software SelectionOpen Source Strategy
“I got to know Timo and Robin as dedicated and professional partners who make a lot of things possible for their clients that initially seem impossible. I felt very well advised. The services offered have thoroughly convinced me. (translated)”
Andrea Pawlowski
Communications Manager, Golem.de
Golem.de - leading German IT news outlet.
GermanyProxmox & BackupProxmoxBackupDocumentation
“Professional, honest and technically thoroughly sound: WZ-IT set up our Proxmox and backup infrastructure securely and future-proof. The consulting from Timo and Robin was objective and needs-driven, the implementation smooth and the final documentation exemplary. You can tell immediately that business-critical infrastructure is thought through holistically from the outset here and implemented with clear ownership.”
Pascal Block
Project Manager, Stadtwerke Brühl GmbH
Stadtwerke Brühl - municipal energy and infrastructure utility.
GermanySoftware DevelopmentPHP ModernizationAPI Extension
“With Timo and Robin, you're not only on the safe side technically - you also get the best human support! Whether it's quick help in everyday life or complex IT solutions: the guys from WZ-IT think along with you, act quickly and speak a language you understand. The collaboration is uncomplicated, reliable and always on an equal footing. That makes IT fun - and above all: it works! Big thank you to the team! (translated)”
Sonja Aßer
Data Manager, ARGE
ARGE Neue Medien - master data & digital standards for plumbing and building technology.
UAECloud MigrationAWS ExitProxmox81% Cost Reduction
“I recently worked with Timo and the WZ-IT team, and honestly, it turned out to be one of the best tech decisions I have made for my business. Right from the start, Timo took the time to walk me through every step in a simple and calm way. No matter how many questions I had, he never rushed me. The results speak for themselves. With WZ-IT, we reduced our monthly expenses from $1,300 down to $250. This was a huge win for us.”
Aleksandr Shuliko
CTO, EVA Real Estate
EVA Real Estate - leading real-estate agency in Dubai.
SwitzerlandManaged ProxmoxClusterMonitoringHigh Availability
“WZ-IT manages our Proxmox cluster reliably and professionally. The team handles continuous monitoring and regular updates for us and responds very quickly to any issues or inquiries. They also configure new nodes, systems, and applications that we need to add to our cluster. With WZ-IT's proactive support, our cluster and the business-critical applications running on it remain stable, and high availability is consistently ensured. We value the professional collaboration and the noticeable relief it brings to our daily operations.”
Pascal Hakkers
Aphy AG
Aphy AG - AI platform for hotel back-office.
GermanyProxmox & VirtualizationBackupVPNSecurity
“WZ-IT provided very competent support in implementing our server and virtualization infrastructure. As part of the project, a Proxmox-based virtualization environment was set up along with a virtual machine for our application systems. Additionally, a structured backup concept was implemented. A particular focus was on security: the setup of a VPN tunnel and the clean implementation of encryption and access concepts were professionally executed. The structured consulting as well as the reliable and swift implementation deserve special mention. We are very satisfied with the services provided and are happy to recommend WZ-IT.”
John Hellmerichs
Managing Director, AInergy GmbH
AInergy - consultancy for energy and facility management.
BulgariaSovereign CollaborationOpen Source StackOperationsMaintenance
“Timo and Robin from WZ-IT set up a RocketChat server for us - and I couldn't be more satisfied! From the initial consultation to the final implementation, everything was absolutely professional, efficient, and to my complete satisfaction. I particularly appreciate the clear communication, transparent pricing, and the comprehensive expertise that both bring to the table. Even after the setup, they take care of the maintenance, which frees up my time enormously and allows me to focus on other important areas of my business - with the good feeling that our IT is in the best hands. I can recommend WZ-IT without reservation and look forward to continuing our collaboration! (translated)”
Sebastian Maier
Managing Director, Yonju GmbH
Yonju - business coaching and AI products.
SpainProduction DeploymentCI/CDPaaSOperations
“Counting on WZ-IT team was crucial, their expertise and solutions gave us the pace to deploy in production our services, even suggesting and performing improvements over our configuration and setup. We expect to keep counting on them for continuous maintenance of our services and implementation of new solutions.”
Gabriel Sanz Señor
Managing Director, Odiseo Solutions
Odiseo Solutions - software engineering for the space industry.
H
GermanyLocal AI IntegrationTechnical IntegrationImplementation
“While looking for a partner to integrate a local AI solution, we came across Timo and Robin - and could not have made a better decision. They quickly understood our requirements and solved technical challenges competently and pragmatically. We were particularly impressed by the straightforward collaboration, their high level of expertise and the speed of implementation. We are delighted to have Timo and Robin at our side as reliable business partners and look forward to our next projects together. (translated)”
Henrik Jeche
Head of IT Administration
ml&s - full-service provider for the electronics industry.
GermanyInfrastructure ModernizationData SovereigntyGDPRDocumentation
“Communication with WZ-IT was open, friendly and professional from the very beginning. Mr. Wevelsiep and Mr. Zins responded to every one of our questions patiently, promptly and respectfully, and contributed their own suggestions and good ideas on how to modernize our server infrastructure and adapt it even better to our needs. Throughout, WZ-IT consistently kept our need for data sovereignty and GDPR compliance in mind. Even short-notice adjustments and change requests from our side were implemented quickly and patiently and integrated consistently into the overall concept. From planning to the final handover, every step was documented transparently and comprehensively - so if a provider change should ever become necessary, the documentation would let us onboard a successor into our infrastructure very quickly. We are extremely satisfied with WZ-IT and hope to continue working together for a long time.”
Christoph Mußmann
Project Officer, DGHO e.V.
DGHO - German Society for Hematology and Medical Oncology.
GermanyOpen Source ArchitectureImplementationTechnical Consulting
“We have had very good experiences with Mr. Wevelsiep and WZ-IT. The consultation was professional, clearly understandable, and at fair prices. The team not only implemented our requirements but also thought along and proactively. Instead of just processing individual tasks, they provided us with well-founded explanations that strengthened our own understanding. WZ-IT took a lot of pressure off us with their structured approach - that was exactly what we needed and is the reason why we keep coming back. (translated)”
Matthias Zimmermann
Managing Director, Annota GmbH
Annota - healthtech startup with an AI documentation assistant.
GermanyArchitecture ConsultingSovereign Software SelectionOpen Source Strategy
“I got to know Timo and Robin as dedicated and professional partners who make a lot of things possible for their clients that initially seem impossible. I felt very well advised. The services offered have thoroughly convinced me. (translated)”
Andrea Pawlowski
Communications Manager, Golem.de
Golem.de - leading German IT news outlet.
GermanyProxmox & BackupProxmoxBackupDocumentation
“Professional, honest and technically thoroughly sound: WZ-IT set up our Proxmox and backup infrastructure securely and future-proof. The consulting from Timo and Robin was objective and needs-driven, the implementation smooth and the final documentation exemplary. You can tell immediately that business-critical infrastructure is thought through holistically from the outset here and implemented with clear ownership.”
Pascal Block
Project Manager, Stadtwerke Brühl GmbH
Stadtwerke Brühl - municipal energy and infrastructure utility.
GermanySoftware DevelopmentPHP ModernizationAPI Extension
“With Timo and Robin, you're not only on the safe side technically - you also get the best human support! Whether it's quick help in everyday life or complex IT solutions: the guys from WZ-IT think along with you, act quickly and speak a language you understand. The collaboration is uncomplicated, reliable and always on an equal footing. That makes IT fun - and above all: it works! Big thank you to the team! (translated)”
Sonja Aßer
Data Manager, ARGE
ARGE Neue Medien - master data & digital standards for plumbing and building technology.
UAECloud MigrationAWS ExitProxmox81% Cost Reduction
“I recently worked with Timo and the WZ-IT team, and honestly, it turned out to be one of the best tech decisions I have made for my business. Right from the start, Timo took the time to walk me through every step in a simple and calm way. No matter how many questions I had, he never rushed me. The results speak for themselves. With WZ-IT, we reduced our monthly expenses from $1,300 down to $250. This was a huge win for us.”
Aleksandr Shuliko
CTO, EVA Real Estate
EVA Real Estate - leading real-estate agency in Dubai.
SwitzerlandManaged ProxmoxClusterMonitoringHigh Availability
“WZ-IT manages our Proxmox cluster reliably and professionally. The team handles continuous monitoring and regular updates for us and responds very quickly to any issues or inquiries. They also configure new nodes, systems, and applications that we need to add to our cluster. With WZ-IT's proactive support, our cluster and the business-critical applications running on it remain stable, and high availability is consistently ensured. We value the professional collaboration and the noticeable relief it brings to our daily operations.”
Pascal Hakkers
Aphy AG
Aphy AG - AI platform for hotel back-office.
GermanyProxmox & VirtualizationBackupVPNSecurity
“WZ-IT provided very competent support in implementing our server and virtualization infrastructure. As part of the project, a Proxmox-based virtualization environment was set up along with a virtual machine for our application systems. Additionally, a structured backup concept was implemented. A particular focus was on security: the setup of a VPN tunnel and the clean implementation of encryption and access concepts were professionally executed. The structured consulting as well as the reliable and swift implementation deserve special mention. We are very satisfied with the services provided and are happy to recommend WZ-IT.”
John Hellmerichs
Managing Director, AInergy GmbH
AInergy - consultancy for energy and facility management.
BulgariaSovereign CollaborationOpen Source StackOperationsMaintenance
“Timo and Robin from WZ-IT set up a RocketChat server for us - and I couldn't be more satisfied! From the initial consultation to the final implementation, everything was absolutely professional, efficient, and to my complete satisfaction. I particularly appreciate the clear communication, transparent pricing, and the comprehensive expertise that both bring to the table. Even after the setup, they take care of the maintenance, which frees up my time enormously and allows me to focus on other important areas of my business - with the good feeling that our IT is in the best hands. I can recommend WZ-IT without reservation and look forward to continuing our collaboration! (translated)”
Sebastian Maier
Managing Director, Yonju GmbH
Yonju - business coaching and AI products.
SpainProduction DeploymentCI/CDPaaSOperations
“Counting on WZ-IT team was crucial, their expertise and solutions gave us the pace to deploy in production our services, even suggesting and performing improvements over our configuration and setup. We expect to keep counting on them for continuous maintenance of our services and implementation of new solutions.”
Gabriel Sanz Señor
Managing Director, Odiseo Solutions
Odiseo Solutions - software engineering for the space industry.
Contact
Let's Talk About Your Idea
Whether a specific IT challenge or just an idea - we look forward to the exchange. In a brief conversation, we'll evaluate together if and how your project fits with WZ-IT.
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Companies worldwide trust WZ-IT
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- An honest take, including when we are not the right fit
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No risk: worst case, you leave with a clearer understanding of your project than before.
“WZ-IT's advice on our Azure migration was technically sound and completely non-binding right from the intro call - we took away a great deal.”