Organization
SLEEP APNEA CARE AND WELLNESS LLC
Active
Other names
Koala Center for Sleep Disorders
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY EARL WILLEY DDS (OWNER)
(309) 376-8385
Entity
Organization
Contact information
Practice address
413 N 17TH AVE STE 100, WAUSAU, WI 54401-4287
(715) 218-4900
(715) 355-5790
Mailing address
305 S 18TH AVE, SUITE 300, WAUSAU, WI 54401-4208
(715) 218-4900
(715) 355-5790
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3272
WI
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7230170001
MEDICARE DME
—
Enumeration date
03/05/2014
Last updated
09/10/2020
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