Organization
YOUR CPAP STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD W MILLER (CEO)
(715) 514-3608
Entity
Organization
Contact information
Practice address
800 WISCONSIN ST, BLDG D02 SUITE 420B, EAU CLAIRE, WI 54703-3588
(715) 514-3608
(715) 514-3609
Mailing address
PO BOX 65, BANBURY PLACE 800 WISCONSIN ST, EAU CLAIRE, WI 54702-0065
(715) 514-3608
(715) 514-3609
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
036102855077304
WI
Other
Enumeration date
11/08/2014
Last updated
11/08/2014
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