| NPI | 1093949943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BURDETTA F. ALLES Partner/President 414-444-2098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: WI CO63445) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-06 |