| NPI | 1437437910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY B OLSON Owner 715-421-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: WI 5001723-005) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-10-17 |