| NPI | 1790537546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA L BEARDSLEY Practice Manager 608-291-4866 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-04-04 |