Organization
ADVANTAGE MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COPPENS (PRESIDENT)
(920) 562-0307
Entity
Organization
Contact information
Practice address
647 FOXVIEW ST, DE PERE, WI 54115
(920) 562-0307
Mailing address
647 FOX VIEW ST, GREEN BAY, WI 54115
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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