| NPI | 1336814102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PHILLIP STANEK Owner 319-830-9042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2021-08-12 |