| NPI | 1013904820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD A DEJONCKHEERE Owner 586-498-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2020-08-22 |