Organization
RELIANT REHAB SERVICE AND SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN D BURR CPA (DIRECTOR OF OPERATIONS)
(715) 384-5425
Entity
Organization
Contact information
Practice address
1517 N OAK AVE, MARSHFIELD, WI 54449-1301
(715) 384-5425
Mailing address
1517 N OAK AVE, MARSHFIELD, WI 54449-1301
(715) 384-5425
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
004000004276301
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41669300
—
WI
Enumeration date
08/11/2006
Last updated
11/01/2010
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