| NPI | 1326226093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS R MARCINIAK Owner 414-546-4151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI WI 461-25) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-05 |