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Ilya Beyder
NPI 1790873602 · on the registry since 2006 · sole proprietor
Practice
- Address
- 8023 W National Ave
West Allis, WI 53214 - Phone
- (414) 302-6337
- Fax
- (414) 755-2039
- Organisation at this address
- Medicalsupply Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Durable Medical Equipment & Medical Supplies
332B00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-12-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin