Organization
MOBILITY SCOOTERS OF MADISON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD JOHN GROSSO (MEMBER)
(608) 228-9090
Entity
Organization
Contact information
Practice address
3411 MILLER ST, MADISON, WI 53704-2527
(608) 228-9090
(608) 241-4628
Mailing address
3411 MILLER ST, MADISON, WI 53704-2527
(608) 228-9090
(608) 241-4628
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
456-1027152998-03
WI
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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