| NPI | 1982890596 |
|---|---|
| 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 | 2007-09-18 |
| Last Update Date | 2009-04-08 |