| NPI | 1659731172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL HANSON Assistant Treasurer 414-299-1623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2017-01-18 |