| NPI | 1396961421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRI B OLEXENKO President 414-704-7810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI D040550) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |