Organization
WESTHILL HOME MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE MALKOWSKI (CEO)
(920) 749-3777
Entity
Organization
Contact information
Practice address
920 N WESTHILL BLVD, APPLETON, WI 54914-5790
(920) 749-3777
(920) 749-3763
Mailing address
920 N WESTHILL BLVD, APPLETON, WI 54914-5790
(920) 749-3777
(920) 749-3763
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41755800
—
WI
Enumeration date
09/20/2006
Last updated
08/22/2020
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