| NPI | 1891733200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALLY J TSCHOPP Owner 712-728-2165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2012-08-27 |