| NPI | 1770612426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN C KUEPPER President 920-730-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2012-11-21 |