| NPI | 1013068188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD P MURPHY Physician 810-985-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 0519490001) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2021-08-18 |