MR. Ilya Beyder
NPI #1790873602 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1790873602
- Entity Type
- Individual
- Name
- MR. Ilya Beyder
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 10, 2006
- Last Updated
- Dec 18, 2007
Practice Location
- Address
- 8023 W NATIONAL AVE
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53214-4507
- Phone
- (414) 302-6337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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