| NPI | 1669723425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS KERSTETTER Manager 414-282-5451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |