NPI | 1710308200 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL BUGGY President 262-227-0346 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
335E00000X Prosthetic/Orthotic Supplier | |
Enumeration Date | 2013-12-30 |
Last Update Date | 2013-12-30 |