| NPI | 1851664254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHA LEE M.D./CEO 414-616-8901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI 6153880001) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |