Organization
PATRIOT MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER GIERKE (OWNER)
(920) 265-7577
Entity
Organization
Contact information
Practice address
1357 PONDEROSA AVE, GREEN BAY, WI 54313-5944
(920) 265-7577
Mailing address
1357 PONDEROSA AVE, GREEN BAY, WI 54313-5944
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/03/2010
Last updated
11/04/2010
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