WIG WAM BOUTIQUE LLC is a durable medical equipment medical supplies in Bloomington, IN. 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. WIG WAM BOUTIQUE LLC NPI is 1821504697. The provider is registered as an organization entity type.
The provider's business location address is:
313 W 17TH ST
BLOOMINGTON, IN
ZIP 47404-453
Phone: (812) 332-4914
The provider's authorized official is Marshalene Evans .
The authorized official title is Member & Registered Agent and has the following contact phone number (812) 498-1857.
The enumeration date for this NPI number is 12/15/2017 and was last updated on 12/15/2017.