Provider Profile

Unclaimed Profile

About

Based in Kewaskum, WI, is listed in the NPI registry under durable medical equipment & supplies. NPI 1790121382 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Credentials & Licensing

NPINational Provider Identifier
1790121382Issued 2013

As reported to the NPI registry ↗

Common questions

What does specialize in?

is a durable medical equipment & supplies in Kewaskum, WI. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is located?

is listed at 901 Fond Du Lac Ave, Kewaskum, WI 53040. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is 's phone number?

The number on file is (262) 477-1700. Contact the office directly to confirm availability and scheduling.

NPI registry

What is 's NPI number?

's National Provider Identifier is 1790121382. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has been practicing?

has 13+ years experience. Registered with an NPI since 2013. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by . If this is you, claiming it is free.

Guide.md

Guide.md listings do not constitute medical advice or an endorsement.