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Organization
ADVENT DME LLC
Active
Organization
ADVENT DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADAN KANDULA (OWNER)
(414) 615-7044
Entity
Organization
Contact information
Practice address
8500 75TH ST STE 101, KENOSHA, WI 53142-8213
(414) 615-7044
Mailing address
8500 75TH ST STE 101, KENOSHA, WI 53142-8213
(414) 615-7044
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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