| NPI | 1902809494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES M SISSON President 414-282-5451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2015-05-08 |