Eastern Dme

NPI #1245590892 in Oak Creek, Wisconsin

Provider Information

NPI Number
1245590892
Entity Type
Organization
Organization Name
Eastern Dme
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
May 16, 2012
Last Updated
May 16, 2012

Practice Location

Address
6508 S 27TH ST
Address 2
SUITE 9-194
ZIP Code
53154-1093
Phone
(414) 409-7646

Authorized Official

Name
MR. GUSTAVO ADOLFO URBINA
Title
PRESIDENT / CEO
Phone
(773) 495-3796

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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