Medicalsupply LLC
NPI #1417114984 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1417114984
- Entity Type
- Organization
- Organization Name
- Medicalsupply LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- May 21, 2008
- Last Updated
- Jun 3, 2008
Practice Location
- Address
- 8023 W NATIONAL AVE
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53214-4507
- Phone
- (414) 302-6337
Authorized Official
- Name
- MR. ILYA BEYDER
- Title
- OFFICER
- Phone
- (414) 302-6337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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