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Organization

NUDAK VENTURES, LLC

Active
Other names
NuCara Home Medical
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN J WEGMANN (CEO)
(641) 366-3440
Entity
Organization

Contact information

Practice address
118 CENTER ST, CONRAD, IA 50621-7822
(641) 366-3114
(641) 366-2167
Mailing address
PO BOX 815, CONRAD, IA 50621-0815
(641) 366-3114
(641) 366-2167

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
332BX2000X
Oxygen Equipment & Supplies (DME)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0220228
IA
Enumeration date
08/23/2006
Last updated
06/17/2015
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