| NPI | 1093699985 |
|---|---|
| Doing Business As | MDWELL ALLEN PARK |
| Entity Type | Organization |
| Authorized Contact | AUGHTUM HALSEY Credentialing Coordinator 248-780-6615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |