Organization
REDBIRD MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACY LOUIS WIEGEL (PRESIDENT)
(608) 776-3184
Entity
Organization
Contact information
Practice address
12050 TAMA RUN LN, DARLINGTON, WI 53530-9627
(608) 776-3184
(608) 776-3987
Mailing address
12050 TAMA RUN LN, DARLINGTON, WI 53530-9627
(608) 776-3184
(608) 776-3987
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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