NPI: 1649270356 · WAUWATOSA, WI 53213 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/22/2005
| Authorized Official | PETERSON, ROXANNE (MEMBER) |
| NPI Enumeration Date | 07/22/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 84 | $0.00 |
| 2019 | 118 | $0.00 |
| 2020 | 59 | $0.00 |