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Organization
FREEDOM MEDICAL,LLC
Active
Organization
FREEDOM MEDICAL,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULINE R PERRY OTR/ATP (OWNER)
(715) 830-6900
Entity
Organization
Contact information
Practice address
2236 HEIMSTEAD RD, EAU CLAIRE, WI 54703-4953
(715) 830-9600
(715) 833-8079
Mailing address
2236 HEIMSTEAD RD, EAU CLAIRE, WI 54703-4953
(715) 830-9600
(715) 833-8079
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679761225
—
WI
Enumeration date
10/09/2007
Last updated
08/03/2011
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