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Mr. Ilya Beyder
Durable Medical Equipment & Medical Supplies in West Allis, Wisconsin
NPI 1790873602

Ilya Beyder is a Durable Medical Equipment & Medical Supplies based in West Allis, WI. Ilya Beyder practices in West Allis, WI. The NPI Number for Ilya Beyder is 1790873602 and holds a License No. (Wisconsin).

The current practice location address for Ilya Beyder is 8023 W National Ave, West Allis, WI and can be reached out via phone at 414-302-6337 and via fax at 414-755-2039. You can also correspond with Ilya Beyder through the mailing address at 8023 W NATIONAL AVE, WEST ALLIS, WI - 53214-4507 (mailing address contact number: 414-302-6337).

Location: 8023 W National Ave, West Allis, WI, 53214-4507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790873602
Provider Name
Ilya Beyder
Credential
Provider Entity Type
Individual
Gender
Male
Address
8023 W National Ave, West Allis, WI, 53214-4507
Phone Number
414-302-6337
Fax Number
414-755-2039
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
87-078373 01 WI MEDICAL SUPPY
institution
Provider Business Practice Location Address Details
Address
8023 W National Ave
City
West Allis
State
Wisconsin
Zip
53214-4507
Phone Number
414-302-6337
Fax Number
414-755-2039
person
Provider Business Mailing Address Details
Address
8023 W National Ave
City
West Allis
State
Wisconsin
Zip
53214-4507
Phone Number
414-302-6337
Fax Number
414-755-2039
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
(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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