Organization
PENFIELD CHILDREN'S CENTER DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL CIARDO (CFO/V.P. ADMINISTRATION)
(414) 345-6303
Entity
Organization
Contact information
Practice address
833 N 26TH ST, MILWAUKEE, WI 53233-1507
(414) 344-7676
(414) 344-7399
Mailing address
833 N 26TH ST, MILWAUKEE, WI 53233-1507
(414) 344-7676
(414) 344-7399
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41618000
—
WI
Enumeration date
10/21/2008
Last updated
10/23/2008
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