NPI | 1629832134 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN ROBERT WYSS Owner 260-385-6291 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2024-02-06 |
Last Update Date | 2024-02-06 |