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Birch Boutique Llc
Durable Medical Equipment & Medical Supplies in Antigo, Wisconsin
NPI 1154045888

Birch Boutique Llc is a Durable Medical Equipment & Medical Supplies based in Antigo, WI. Birch Boutique Llc practices in Antigo, WI. The NPI Number for Birch Boutique Llc is 1154045888 and holds a License No. (Wisconsin).

The current practice location address for Birch Boutique Llc is 612 Clemont St, Antigo, WI and can be reached out via phone at 715-350-7174 and via fax at 715-716-4330.

Location: 612 Clemont St, Antigo, WI, 54409-1988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154045888
Provider Name
Birch Boutique Llc
Credential
Provider Entity Type
Organization
Address
612 Clemont St, Antigo, WI, 54409-1988
Phone Number
715-350-7174
Fax Number
715-716-4330
Provider Enumeration Date
09/27/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
612 Clemont St
City
Antigo
State
Wisconsin
Zip
54409-1988
Phone Number
715-350-7174
Fax Number
715-716-4330
person
Provider Business Mailing Address Details
Address
612 Clemont St
City
Antigo
State
Wisconsin
Zip
54409-1988
Phone Number
715-350-7174
Fax Number
715-716-4330
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Mastectomy Fitter
Speciality
-
Taxonomy
224900000X
License No.
()
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
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's use in the home and that are usable for an extended period of time.
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