| NPI | 1356592794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ERICKSON President 262-255-9653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI 004000183384101) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2008-10-03 |