Organization
MIDWEST MEDICAL SUPPLY CO. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NURUDEEN AMUSA (PRESIDENT)
(414) 243-2606
Entity
Organization
Contact information
Practice address
9072 N JOYCE AVE, MILWAUKEE, WI 53224-1816
(414) 243-2606
Mailing address
9072 N JOYCE AVE, MILWAUKEE, WI 53224-1816
(414) 243-2606
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
004000339916201
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41569600
—
WI
Enumeration date
09/18/2008
Last updated
09/18/2008
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