| NPI | 1811095003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE MALKOWSKI CEO 920-749-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |