Organization · Type 2 NPI

Wig Wam Boutique LLC

Durable Medical Equipment & Medical Supplies · Bloomington, IN

NPI number 1821504697 Active

Practice location

313 W 17th St
Bloomington, IN 47404-3453

Call (812) 332-4914 Map

Mailing address

397 S Gum St
North Vernon, IN 47265-2055

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone listed

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 1821504697

Wig Wam Boutique LLC's National Provider Identifier is 1821504697, issued on Dec 15, 2017. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Bloomington, IN. The record was last updated on Dec 15, 2017.