Organization
VOGA WIGS & HAIR ADDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH MARLIN ZIMMERMAN (OWNER)
(920) 884-8642
Entity
Organization
Contact information
Practice address
904 S MILITARY AVE, SUITE A, GREEN BAY, WI 54304-2115
(920) 884-8642
(920) 884-9447
Mailing address
904 S MILITARY AVE, SUITE A, GREEN BAY, WI 54304-2115
(920) 884-8642
(920) 884-9447
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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