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State Of Wisconsin
Customized Equipment (DME) in Madison, Wisconsin
NPI 1225362403

State Of Wisconsin is a Customized Equipment (DME) based in Madison, WI and is specialized in Customized Equipment. State Of Wisconsin practices in Madison, WI. The NPI Number for State Of Wisconsin is 1225362403 and holds a License No. (Wisconsin).

The current practice location address for State Of Wisconsin is 317 Knutson Dr, Madison, WI and can be reached out via phone at 608-301-9337.

Location: 317 Knutson Dr, Madison, WI, 53704-1133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225362403
Provider Name
State Of Wisconsin
Credential
Provider Entity Type
Organization
Address
317 Knutson Dr, Madison, WI, 53704-1133
Phone Number
608-301-9337
Fax Number
Provider Enumeration Date
09/22/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1265519771 05 WI
institution
Provider Business Practice Location Address Details
Address
317 Knutson Dr
City
Madison
State
Wisconsin
Zip
53704-1133
Phone Number
608-301-9337
Fax Number
person
Provider Business Mailing Address Details
Address
317 Knutson Dr
City
Madison
State
Wisconsin
Zip
53704-1133
Phone Number
608-301-9337
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
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