| NPI | 1205272655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LUTZ Director Managed Markets 262-349-3383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 52384) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-13 |