Organization
MEDSOURCE MIDWEST L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CROSSET WAGENSELLER (PRESIDENT/OWNER)
(614) 315-5115
Entity
Organization
Contact information
Practice address
101 N SOUTH ST, WILMINGTON, OH 45177-1646
(614) 315-5115
Mailing address
101 N SOUTH ST, WILMINGTON, OH 45177-1646
(614) 315-5115
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
OH
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up