| Organization Name: | GUARDIAN PROPERTIES OF WISCONSIN |
| NPI Number: | 1033354345 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES G WITUCKI (CEO) |
| Mailing Address: | 10231 Penny Lake Rd Rosholt |
| State: | WI US |
| Postal Code: | 544738862 |
| Phone Number: | 7156774625 |
| Fax Number: | |
| NPI Enumeration Date: | 12/16/2008 |
| NPI Last Update Date: | 12/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |