| NPI | 1053691451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A. BUCKHOLDT President 800-845-6364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI 456000028767102) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2017-02-24 |