Organization
MEDICAL EQUIPMENT SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES M SISSON RRT (PRESIDENT)
(414) 282-5451
Entity
Organization
Contact information
Practice address
3838 S 35TH ST, MILWAUKEE, WI 53221-1067
(414) 282-5451
(414) 282-5467
Mailing address
3838 S 35TH ST, MILWAUKEE, WI 53221-1067
(414) 282-5451
(414) 282-5467
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416771000
—
WI
Enumeration date
05/27/2005
Last updated
05/08/2015
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