Healthcare Provider Details

I. General information

NPI: 1770962227
Provider Name (Legal Business Name): DBM, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2015
Last Update Date: 12/21/2022
Certification Date: 12/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 STATE RD
LA CROSSE WI
54601-5835
US

IV. Provider business mailing address

400 S BROADWAY SUITE 106
ROCHESTER MN
55904-6445
US

V. Phone/Fax

Practice location:
  • Phone: 608-782-1855
  • Fax: 608-782-1856
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MARTY FRANA
Title or Position: CEO
Credential:
Phone: 507-269-4344