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Organization

ADVANCED BRACING PLUS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL A BUCKHOLDT (PRESIDENT)
(800) 845-6364
Entity
Organization

Contact information

Practice address
1801 AIRPORT RD, SUITE C, WAUKESHA, WI 53188-2477
(414) 501-2355
(414) 433-1900
Mailing address
1801 AIRPORT RD, SUITE C, WAUKESHA, WI 53188-2477

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
11/10/2014
Last updated
11/10/2014
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