Medequipment & Supplies

NPI #1013410539 in Green Bay, Wisconsin

Provider Information

NPI Number: 1013410539
Entity Type: Organization
Organization Name: Medequipment & Supplies
Primary Specialty: Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition
Enumeration Date: Mar 11, 2018
Last Updated: Mar 11, 2018

Practice Location

Address: 2713 HUMBOLDT RD APT 6
City: Green Bay
State: Wisconsin
ZIP Code: 54311-8457
Phone: (920) 634-1332

Authorized Official

Name: MR. MIGUEL ACOSTA
Title: PRESIDENT
Phone: (920) 634-1332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition	332BP3500X	Primary

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