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Organization

EXPRESS MEDICAL INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIKA MARIE MIKUNDA (PRESIDENT)
(715) 532-5154
Entity
Organization

Contact information

Practice address
312 W 9TH ST N, STE 2, LADYSMITH, WI 54848-1270
(715) 532-5154
(715) 532-5941
Mailing address
312 W 9TH ST N, STE 2, LADYSMITH, WI 54848-1270
(715) 532-5154
(715) 532-5941

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41665000
WI
Enumeration date
06/04/2006
Last updated
11/20/2015
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