| NPI | 1336280403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA CHARMAINE FREEMAN Office Manager 414-586-0553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI 004000231718601) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |