NPI | 1841741683 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRIS AUGUSTIAN CEO 920-490-9046 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2016-10-17 |
Last Update Date | 2022-04-20 |