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NPI Code Detail

MEDICARE: MEDICAL EQUIPMENT SPECIALISTS

MEDICARE: MEDICAL EQUIPMENT SPECIALISTS
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
1247200000XOther Technician

General Provider Information

NPI Number : 1659694214
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL EQUIPMENT SPECIALISTS
Provider Business Mailing Address
First Line : 11220 W LAPHAM ST
Second Line :
City : WEST ALLIS
State : WI
Zip : 53214-3806
Country : US
Telephone Number : 414-282-5451
Fax Number :
Provider Business Practice Location Address
First Line : 11220 W LAPHAM ST
Second Line :
City : WEST ALLIS
State : WI
Zip : 53214-3806
Country : US
Telephone Number : 414-282-5451
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CHARLES SISSON
Credential :
Telephone Number : 414-282-5451
Provider Enumeration Date : 03/10/2010
Last Update Date : 03/10/2010

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Directions to “MEDICAL EQUIPMENT SPECIALISTS ” Practice Location

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