| NPI | 1265064687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADAN KANDULA Owner 414-615-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |