Organization
WHEATON FRANCISCAN MEDICAL EQUIPMENT TEAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES GRESHAM (PRESIDENT)
(414) 874-6276
Entity
Organization
Contact information
Practice address
3070 N 51ST ST STE 406, MILWAUKEE, WI 53210-1661
(414) 874-6171
(414) 874-6119
Mailing address
3070 N 51ST ST STE 406, MILWAUKEE, WI 53210-1661
(414) 874-6171
(414) 874-6119
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1695-045
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41702100
—
WI
Enumeration date
07/27/2006
Last updated
01/12/2011
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