| NPI | 1578834925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH MARLIN ZIMMERMAN Owner 920-884-8642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2012-01-17 |