Birch Boutique LLC
Birch Boutique LLC is a Mastectomy Fitter in Antigo, Wisconsin. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
612 Clemont St Ste #8Antigo, WI 54409-1988
Phone: (715) 350-7174
Fax: (715) 716-4330
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mastectomy Fitter (primary) | Taxonomy 224900000X |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
Record details
| NPI number | 1154045888 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Greta Tomany — Owner · (715) 350-7174 |
| NPI enumerated | September 27, 2022 |
| Last updated in NPPES | February 29, 2024 |
| Certification date | February 29, 2024 |
| Mailing address | 612 Clemont St, Ste #8, Antigo, WI 54409-1988 |
Other providers in Antigo
-
Greta M Tomany, RN, CMF
612 Clermont St Ste 8, Antigo, WI 54409-1988 · (715) 350-7174