| NPI | 1346803632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J BUNKER Authorized Representative 414-325-3744 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |