| NPI | 1598362717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND ANTHONY KUNTZ Member/President 218-348-3236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |