Agnesian Healthcare

NPI #1760419733 in Waupun, Wisconsin

Provider Information

NPI Number: 1760419733
Entity Type: Organization
Organization Name: Agnesian Healthcare
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Jun 27, 2006
Last Updated: Sep 19, 2012

Practice Location

Address: 14 BEAVER DAM ST
City: Waupun
State: Wisconsin
ZIP Code: 53963-1869
Phone: (920) 324-6800

Authorized Official

Name: STEVEN N LITTLE
Title: SVP & CFO
Phone: (920) 926-5402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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