Organization
METROSTARS MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY WABLONG LEE (CEO)
(262) 352-6217
Entity
Organization
Contact information
Practice address
6240 N 104TH ST, MILWAUKEE, WI 53225-1406
(262) 352-6217
Mailing address
6240 N 104TH ST, MILWAUKEE, WI 53225-1406
(262) 352-6217
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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