Provider Demographics
NPI:1326167321
Name:DEES MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:DEES MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIDACUS
Authorized Official - Middle Name:
Authorized Official - Last Name:UDEOJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-760-9422
Mailing Address - Street 1:3900 W BROWN DEER RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53209-1220
Mailing Address - Country:US
Mailing Address - Phone:414-760-9422
Mailing Address - Fax:888-342-1587
Practice Address - Street 1:6633 W BURLEIGH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53210-1318
Practice Address - Country:US
Practice Address - Phone:414-760-9422
Practice Address - Fax:888-342-1587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41733400Medicaid
WI5148500001Medicare NSC