THEODORE M WANDZILAK MD NPI 1033396171

NPI Information

THEODORE M WANDZILAK MD is a durable medical equipment medical supplies in Louisville, KY. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. THEODORE M WANDZILAK MD NPI is 1033396171. The provider is registered as an organization entity type.

The provider's business location address is:

1348 POPLAR LEVEL RD
LOUISVILLE, KY
ZIP 40217-307
Phone: (502) 634-1721
Fax: (502) 637-6396

The provider's authorized official is Pam Smith .
The authorized official title is Manager and has the following contact phone number (502) 634-1721.

The enumeration date for this NPI number is 1/30/2008 and was last updated on 6/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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