| NPI | 1871873778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY W BAILET President 414-647-3047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-12-19 |