NPI 1013410539

Medequipment & Supplies

Organisation Parenteral & Enteral Nutrition Supplies (DME) Green Bay, WI

Practice location

Address: 2713 Humboldt Rd APT 6, Green Bay, WI 54311-8457
Phone: (920) 634-1332

Authorised official

Name: Miguel Acosta
Title: President
Phone: (920) 634-1332

Registered specialties

Parenteral & Enteral Nutrition Supplies (DME) Primary

Suppliers Taxonomy 332BP3500X

Other Durable Medical Equipment & Medical Supplies providers in Wisconsin →

Registry record

NPI: 1013410539
Entity type: Organization
NPI issued: 11 Mar 2018
Record last updated: 11 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.