| NPI | 1033162524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY ALLEN PIERCE Co Owner 231-932-8702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2016-06-07 |