Fairway Medical LLC
NPI #1679302228 in Germantown, Wisconsin
Provider Information
- NPI Number
- 1679302228
- Entity Type
- Organization
- Organization Name
- Fairway Medical LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jul 31, 2024
- Last Updated
- Oct 3, 2024
Practice Location
- Address
- W175N11081 STONEWOOD DR STE 106
- City
- Germantown
- State
- Wisconsin
- ZIP Code
- 53022-4771
- Phone
- (262) 518-7319
Authorized Official
- Name
- CHRISTOPHER PAUL EHRFURTH
- Title
- PRESIDENT
- Phone
- (262) 518-7319
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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