| NPI | 1033654199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C MC ROBERTS Owner 715-568-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2018-01-08 |