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Organization

FAIRWAY MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER PAUL EHRFURTH (PRESIDENT)
(262) 518-7319
Entity
Organization

Contact information

Practice address
W175N11081 STONEWOOD DR STE 106, GERMANTOWN, WI 53022-4771
(262) 518-7319
(262) 450-4056
Mailing address
W175N11081 STONEWOOD DR STE 106, GERMANTOWN, WI 53022-4771
(262) 518-7319
(262) 450-4056

Taxonomy

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

Other

Enumeration date
07/31/2024
Last updated
10/03/2024
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