| NPI | 1154555373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA NEWHOUSE Patient Accounts 920-739-1214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI 5068015) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2009-05-04 |