| NPI | 1740458520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE A THEDE Patient Financial Services Manager 920-803-3263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2011-04-28 |