| NPI | 1265710651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH VOSTERS President 920-915-8433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: WI 600-1026805856-03) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |