Organization
ADVANCED MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN FENN (PRESIDENT)
(608) 663-8881
Entity
Organization
Contact information
Practice address
4411 GORDON AVE STE 1, MONONA, WI 53716-1013
(608) 663-8881
(888) 299-5568
Mailing address
PO BOX 6705, MONONA, WI 53716-0705
(608) 663-8881
(888) 299-5568
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41731100
—
WI
Enumeration date
01/31/2007
Last updated
07/21/2022
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