Organization · Type 2 NPI

Theodore M Wandzilak MD

Durable Medical Equipment & Medical Supplies · Louisville, KY

NPI number 1033396171 Active

Practice location

1348 Poplar Level Rd
Louisville, KY 40217-1307

Call (502) 634-1721 Map

Fax (502) 637-6396

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000X22152 (KY)

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1033396171

Theodore M Wandzilak MD's National Provider Identifier is 1033396171, issued on Jan 30, 2008. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Louisville, KY. The record was last updated on Jun 8, 2017.