Organization
STAT MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN W UNDERHILL (OWNER)
(920) 918-6828
Entity
Organization
Contact information
Practice address
6624 LONE OAK DR, SHEBOYGAN, WI 53081-9102
(920) 918-6828
Mailing address
6624 LONE OAK DR, SHEBOYGAN, WI 53081-9102
(920) 918-6828
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/04/2009
Last updated
01/04/2009
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