| NPI | 1124216023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD JOHN TATGE Owner 563-381-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |