Organization · Type 2 NPI
Sullivan
Customized Equipment (DME) · Solon Springs, WI
NPI number
1265662282
Active
Practice location
8787 E Bebe Rd
Solon Springs, WI 54873-8122
Fax (715) 375-2579
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
About NPI 1265662282
Sullivan's National Provider Identifier is 1265662282, issued on Jul 24, 2009. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Solon Springs, WI. The record was last updated on Jul 24, 2009.