Organization Name: | MILWAUKEE MEDICAL SUPPLY LLC |
NPI Number: | 1659764454 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MANEE LEE (MEMBER) |
Mailing Address: | 5626 N 91st St Suite 202 Milwaukee |
State: | WI US |
Postal Code: | 532252745 |
Phone Number: | 4143237566 |
Fax Number: | 4143237161 |
NPI Enumeration Date: | 03/18/2015 |
NPI Last Update Date: | 03/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |