| Organization Name: | EXPRESS MEDICAL INCORPORATED |
| NPI Number: | 1205875630 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIKA MARIE MIKUNDA (PRESIDENT) |
| Mailing Address: | 312 W 9th St N Ste 2 Ladysmith |
| State: | WI US |
| Postal Code: | 548481270 |
| Phone Number: | 7155325154 |
| Fax Number: | 7155325941 |
| NPI Enumeration Date: | 06/04/2006 |
| NPI Last Update Date: | 11/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |