Organization
STUPENDOUS MEDICAL HAIR THERAPY LLC
Active
Other names
Stupendous Medical Hair Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMIE LYNN DU PEE CRANIAL SPECIALIST (CRANIAL PROSTHESIS SPECIALIST)
(414) 595-5672
Entity
Organization
Contact information
Practice address
7905 W APPLETON AVE STE 104, MILWAUKEE, WI 53218-4580
(414) 595-5672
Mailing address
7905 W APPLETON AVE, MILWAUKEE, WI 53218-4580
(414) 595-5672
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/06/2023
Last updated
07/12/2023
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