| NPI | 1437104064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON BINGOL Director 608-775-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2014-05-14 |