| NPI | 1871655787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L REGNER President 262-694-9103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI 1356-035) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2011-03-08 |