| NPI | 1417156050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE MILLER Owner 262-549-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI 5571070001) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2010-01-29 |