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Wig Wam Boutique Llc
Durable Medical Equipment & Medical Supplies in Bloomington, Indiana
NPI 1821504697

Wig Wam Boutique Llc is a Durable Medical Equipment & Medical Supplies based in North Vernon, IN. Wig Wam Boutique Llc practices in Bloomington, IN. The NPI Number for Wig Wam Boutique Llc is 1821504697 and holds a License No. (Indiana).

The current practice location address for Wig Wam Boutique Llc is 313 W 17Th St, Bloomington, IN and can be reached out via phone at 812-332-4914.

Location: 313 W 17Th St, Bloomington, IN, 47265-2055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821504697
Provider Name
Wig Wam Boutique Llc
Credential
Provider Entity Type
Organization
Address
313 W 17Th St, Bloomington, IN, 47265-2055
Phone Number
812-332-4914
Fax Number
Provider Enumeration Date
12/15/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
313 W 17Th St
City
Bloomington
State
Indiana
Zip
47404-3453
Phone Number
812-332-4914
Fax Number
person
Provider Business Mailing Address Details
Address
313 W 17Th St
City
Bloomington
State
Indiana
Zip
47404-3453
Phone Number
812-332-4914
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
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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