| NPI | 1598525230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY A PATTEE Practice Manager 920-356-6416 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |