Organization
WHEELCHAIR GUY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN CANTRALL (OWNER)
(262) 353-3260
Entity
Organization
Contact information
Practice address
3800 S RIVER RD, UNIT A, WEST BEND, WI 53095-7845
(262) 353-3260
(262) 353-3454
Mailing address
3800 S RIVER RD, UNIT A, WEST BEND, WI 53095-7845
(262) 353-3260
(262) 353-3454
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41753800
—
WI
Enumeration date
07/27/2006
Last updated
07/21/2022
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