Organization · Type 2 NPI
Medequipment & Supplies
Parenteral & Enteral Nutrition Supplies (DME) · Green Bay, WI
NPI number
1013410539
Active
Practice location
2713 Humboldt Rd Apt 6
Green Bay, WI 54311-8457
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) Primary | 332BP3500X | None listed |
Parenteral & Enteral Nutrition Supplies (DME): Definition to come...
About NPI 1013410539
Medequipment & Supplies's National Provider Identifier is 1013410539, issued on Mar 11, 2018. The primary taxonomy on file is Parenteral & Enteral Nutrition Supplies (DME) (332BP3500X), and the practice location is in Green Bay, WI. The record was last updated on Mar 11, 2018.