| NPI | 1730249665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN D BURR CFO 715-552-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI 00400031000) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-10-12 |