| NPI | 1073650206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS A HAASE Owner 248-666-8807 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI KH001672) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2011-11-08 |