| NPI | 1689698151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GRESHAM President 414-874-6276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI 1695-045) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2011-01-12 |