| NPI | 1811704992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY ASHTON SCARLETT Md 608-710-8162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-12 |