| NPI | 1821480302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW J MARGHEIM Owner 319-895-4085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: IA 6178650001) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2015-02-20 |