| NPI | 1114015492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM MARIE STADTLER Owner/Manager 608-785-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |