Organization
ERICKSON AUTO TRIM, INC
Active
Other names
Erickson Mobility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK L BOWER (PRESIDENT)
(920) 731-7910
Entity
Organization
Contact information
Practice address
644 VALLEY RD, MENASHA, WI 54952-1018
(920) 731-7910
Mailing address
644 VALLEY RD, MENASHA, WI 54952-1018
(920) 731-7910
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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