Agnesian Healthcare INC

NPI #1962748319 in Chilton, Wisconsin

Provider Information

NPI Number: 1962748319
Entity Type: Organization
Organization Name: Agnesian Healthcare INC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Dec 12, 2012
Last Updated: Dec 12, 2012

Practice Location

Address: 451 E BROOKLYN ST
City: Chilton
State: Wisconsin
ZIP Code: 53014-1595
Phone: (920) 849-4682

Authorized Official

Name: STEVEN N LITTLE
Title: PRESIDENT & CEO
Phone: (920) 926-5402

Specialties & Taxonomy Codes

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

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