Organization
BRACING SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN HANSON (OWNER)
(414) 810-1299
Entity
Organization
Contact information
Practice address
250 E WISCONSIN AVE, STE 1800, MILWAUKEE, WI 53202-4232
(414) 810-1299
Mailing address
250 E WISCONSIN AVE, STE 1800, MILWAUKEE, WI 53202-4232
(414) 810-1299
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/15/2015
Last updated
07/22/2015
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