| NPI | 1639349905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN D. BURR Owner 715-552-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI 004000310001101) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |