| NPI | 1336428424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW HIPPERT President 920-475-1966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2016-03-28 |