Agnesian Healthcare INC

NPI #1972879641 in Waupun, Wisconsin

Provider Information

NPI Number: 1972879641
Entity Type: Organization
Organization Name: Agnesian Healthcare INC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Mar 28, 2012
Last Updated: Jul 5, 2012

Practice Location

Address: 1001 W MAIN ST
City: Waupun
State: Wisconsin
ZIP Code: 53963-1601
Phone: (920) 324-9301

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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