Provider Demographics
NPI:1467968164
Name:APPLETON MEDICAL LLC
Entity Type:Organization
Organization Name:APPLETON MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FAIZ UL
Authorized Official - Middle Name:
Authorized Official - Last Name:REHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-299-7375
Mailing Address - Street 1:2511 8TH ST S STE 220
Mailing Address - Street 2:
Mailing Address - City:WISCONSIN RAPIDS
Mailing Address - State:WI
Mailing Address - Zip Code:54494-6162
Mailing Address - Country:US
Mailing Address - Phone:262-299-7375
Mailing Address - Fax:534-429-0140
Practice Address - Street 1:2511 8TH ST S STE 220
Practice Address - Street 2:
Practice Address - City:WISCONSIN RAPIDS
Practice Address - State:WI
Practice Address - Zip Code:54494-6162
Practice Address - Country:US
Practice Address - Phone:262-299-7375
Practice Address - Fax:534-429-0140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-18
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies