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Midstate Medical, Inc
Oxygen Equipment & Supplies (DME) in Shell Lake, Wisconsin
NPI 1578639688

Midstate Medical, Inc is a Oxygen Equipment & Supplies (DME) based in Keyser, WI and is specialized in Oxygen Equipment & Supplies. Midstate Medical, Inc practices in Shell Lake, WI. The NPI Number for Midstate Medical, Inc is 1578639688 and holds a License No. 009457 (Wisconsin).

The current practice location address for Midstate Medical, Inc is 403 1St Avenue, Shell Lake, WI and can be reached out via phone at 715-468-2552.

Location: 403 1St Avenue, Shell Lake, WI, 26726-9404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578639688
Provider Name
Midstate Medical, Inc
Credential
Provider Entity Type
Organization
Address
403 1St Avenue, Shell Lake, WI, 26726-9404
Phone Number
715-468-2552
Fax Number
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
41669200 05 WI
institution
Provider Business Practice Location Address Details
Address
403 1St Avenue
City
Shell Lake
State
Wisconsin
Zip
54871-0300
Phone Number
715-468-2552
Fax Number
person
Provider Business Mailing Address Details
Address
403 1St Avenue
City
Shell Lake
State
Wisconsin
Zip
54871-0300
Phone Number
715-468-2552
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
009457 (West Virginia)
Definition
Definition to come...
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