Organization
DIRECT SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT H KLEIN JR. (SENIOR VP)
(414) 760-5804
Entity
Organization
Contact information
Practice address
6767 N INDUSTRIAL RD, MILWAUKEE, WI 53223-5815
(414) 760-5804
Mailing address
6767 N INDUSTRIAL RD, MILWAUKEE, WI 53223-5815
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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