Organization
NUTREX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH HAISE (MEMBER)
(414) 312-2420
Entity
Organization
Contact information
Practice address
6024 DOYLE ST, GREENDALE, WI 53129-2242
(414) 312-2420
(414) 377-9359
Mailing address
6024 DOYLE ST, GREENDALE, WI 53129-2242
(414) 312-2420
(414) 377-9359
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/22/2009
Last updated
11/08/2019
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