Birch Boutique Llc
Mastectomy Fitter
612 Clemont St, Ste #8, Antigo
Wisconsin, 54409-1988
715-350-7174 715-716-4330
Birch Boutique Llc is a Mastectomy Fitter in Antigo, Wisconsin. It is located at 612 Clemont St, Ste #8, Antigo and it's customer support contact number is 715-350-7174. The authorized person of Birch Boutique Llc is Greta Tomany, RN,CMF who is Owner of this DME and his contact number is 715-350-7174.
Birch Boutique Llc is an individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
DME Supplier Details:
Birch Boutique Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Birch Boutique Llc |
| Type: | Mastectomy Fitter |
| Location: | 612 Clemont St, Ste #8, Antigo,
Wisconsin, 54409-1988 |
| Phone: | 715-350-7174 |
| Fax: | 715-716-4330 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Greta Tomany |
| Credentials: | RN,CMF |
| Position: | Owner |
| Contact Number: | 715-350-7174 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1154045888 |
| NPI Enumeration Date: | 27 Sep, 2022 |
| NPI Last Update On: | 29 Feb, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Birch Boutique Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Mastectomy Fitter | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 612 Clemont St, Ste #8
Antigo, Wisconsin |
| Zip: | 54409-1988 |
| Phone Number: | 715-350-7174 |
| Fax Number: | 715-716-4330 |
Patients can reach Birch Boutique Llc at
612 Clemont St, Ste #8, Antigo, Wisconsin or can
call on customer care at 715-350-7174.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.