| NPI | 1346384757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT M WALDERBACH President 641-423-9487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2020-08-22 |