Organization
MASS MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. M ANTHONY REAVES (PRESIDENT)
(414) 213-1921
Entity
Organization
Contact information
Practice address
500 W SILVER SPRING DR STE K200, GLENDALE, WI 53217-5052
(414) 213-1921
Mailing address
8620 W FOND DU LAC AVE, MILWAUKEE, WI 53225-2013
(414) 213-1921
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
456-1029494754
WI
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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