| NPI | 1447232624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DWAIN PLOOSTER President /Treasurer 608-356-3942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2008-12-16 |