| NPI | 1164656898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MARSTON Operations Manager 920-378-2471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI v018983) |
| Enumeration Date | 2009-05-09 |
| Last Update Date | 2009-05-09 |