NPI 1033396171

Theodore M Wandzilak MD

Organisation Durable Medical Equipment & Medical Supplies Louisville, KY

Practice location

Address: 1348 Poplar Level Rd, Louisville, KY 40217-1307
Phone: (502) 634-1721
Fax: (502) 637-6396

Authorised official

Name: Pam Smith
Title: Manager
Phone: (502) 634-1721

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X Licence 22152 (KY)

Other Durable Medical Equipment & Medical Supplies providers in Kentucky →

Registry record

NPI: 1033396171
Entity type: Organization
NPI issued: 30 Jan 2008
Record last updated: 8 Jun 2017

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.