| NPI | 1891706172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN D BURR Director Of Operations 715-384-5425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI 004000004276301) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2010-11-01 |