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NPI Code Detail

MEDICARE: SLEEP SERVICE CENTER LLC

MEDICARE: SLEEP SERVICE CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BX2000XOxygen Equipment & Supplies (DME)WI

General Provider Information

NPI Number : 1033465653
Entity Type Code : Organization
Provider Name (Legal Business Name) : SLEEP SERVICE CENTER LLC
Provider Business Mailing Address
First Line : 11220 W LAPHAM ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53214-3806
Country : US
Telephone Number : 414-550-5221
Fax Number :
Provider Business Practice Location Address
First Line : 11220 W LAPHAM ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53214-3806
Country : US
Telephone Number : 414-550-5221
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : MR. CHARLES SISSON
Credential :
Telephone Number : 414-550-5221
Provider Enumeration Date : 08/01/2012
Last Update Date : 11/09/2012

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Directions to “SLEEP SERVICE CENTER LLC ” Practice Location

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