Organization
ACTIVE SALES & SERVICES MEDICAL EQUIPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONID SHEYNBUK (PARTNER)
(414) 906-1560
Entity
Organization
Contact information
Practice address
3817 N OAKLAND AVE, MILWAUKEE, WI 53211-2240
(414) 906-1560
(414) 906-1566
Mailing address
3817 N OAKLAND AVE, MILWAUKEE, WI 53211-2240
(414) 906-1560
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41720400
—
WI
Enumeration date
02/23/2007
Last updated
06/01/2009
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