| NPI | 1306282017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL COPPENS President 920-562-0307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |