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Medequipment & Supplies — NPI 1013410539, Green Bay, WI | NPI Central

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NPI 1013410539

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Medequipment & Supplies

NPI 1013410539 · Parenteral & Enteral Nutrition Supplies (DME) · Green Bay, WI

Provider details

NPI number: 1013410539
Entity type: Organization
Primary specialty: Parenteral & Enteral Nutrition Supplies (DME)Suppliers
Authorized official: Miguel Acosta, President

Practice location

2713 Humboldt Rd Apt 6

Green Bay, WI 54311-8457

Phone: (920) 634-1332

More WI providers

Mailing address

2713 Humboldt Rd Apt 6

Green Bay, WI 54311-8457

Registry dates

Enumerated: 2018-03-11
Last updated: 2018-03-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.