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Thomas R. Marciniak
Durable Medical Equipment & Medical Supplies in Milwaukee, Wisconsin
NPI 1326226093

Thomas R. Marciniak is a Durable Medical Equipment & Medical Supplies based in Milwaukee, WI. Thomas R. Marciniak practices in Milwaukee, WI. The NPI Number for Thomas R. Marciniak is 1326226093 and holds a License No. WI 461-25 (Wisconsin).

The current practice location address for Thomas R. Marciniak is 3515 S 68Th St, Milwaukee, WI and can be reached out via phone at 414-546-4151.

Location: 3515 S 68Th St, Milwaukee, WI, 53220-1206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326226093
Provider Name
Thomas R. Marciniak
Credential
Provider Entity Type
Organization
Address
3515 S 68Th St, Milwaukee, WI, 53220-1206
Phone Number
414-546-4151
Fax Number
Provider Enumeration Date
02/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43217100 05 WI
institution
Provider Business Practice Location Address Details
Address
3515 S 68Th St
City
Milwaukee
State
Wisconsin
Zip
53220-1206
Phone Number
414-546-4151
Fax Number
person
Provider Business Mailing Address Details
Address
3515 S 68Th St
City
Milwaukee
State
Wisconsin
Zip
53220-1206
Phone Number
414-546-4151
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
WI 461-25 (Wisconsin)
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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