Provider Demographics
NPI:1235551144
Name:DMDZ, INC.
Entity Type:Organization
Organization Name:DMDZ, INC.
Other - Org Name:101 MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DZIEWIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-839-9438
Mailing Address - Street 1:1900 AIRPORT RD STE B
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-2478
Mailing Address - Country:US
Mailing Address - Phone:414-839-9438
Mailing Address - Fax:
Practice Address - Street 1:1900 AIRPORT RD STE B
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-2478
Practice Address - Country:US
Practice Address - Phone:414-839-9438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-11
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies