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Medsource Llc
Durable Medical Equipment & Medical Supplies in Hales Corners, Wisconsin
NPI 1275847725

Medsource Llc is a Durable Medical Equipment & Medical Supplies based in Bloomington, WI. Medsource Llc practices in Hales Corners, WI. The NPI Number for Medsource Llc is 1275847725 and holds a License No. 203.001082 (Wisconsin).

The current practice location address for Medsource Llc is 5300 S 108Th St Ste 19, Hales Corners, WI and can be reached out via phone at 262-446-4850 and via fax at 262-446-4851.

Location: 5300 S 108Th St Ste 19, Hales Corners, WI, 61702-1248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275847725
Provider Name
Medsource Llc
Credential
Provider Entity Type
Organization
Address
5300 S 108Th St Ste 19, Hales Corners, WI, 61702-1248
Phone Number
262-446-4850
Fax Number
262-446-4851
Provider Enumeration Date
07/27/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
203.001082 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
5300 S 108Th St Ste 19
City
Hales Corners
State
Wisconsin
Zip
53130-1368
Phone Number
262-446-4850
Fax Number
262-446-4851
person
Provider Business Mailing Address Details
Address
5300 S 108Th St Ste 19
City
Hales Corners
State
Wisconsin
Zip
53130-1368
Phone Number
262-446-4850
Fax Number
262-446-4851
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
203.001082 (Illinois)
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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