Organization
JOINTS IN MOTION MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E CLEARY JR. (OWNER)
(414) 507-5704
Entity
Organization
Contact information
Practice address
1343 E WISCONSIN AVENUE, SUITE 112, PEWAUKEE, WI 53072
(262) 547-4276
(262) 547-0512
Mailing address
1343 E WISCONSIN AVENUE, SUITE 112, PEWAUKEE, WI 53072-3741
(262) 547-4276
(262) 547-0512
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41572000
—
WI
Enumeration date
07/05/2006
Last updated
07/26/2018
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