| NPI | 1104673516 |
|---|---|
| Doing Business As | GREAT LAKES MEDICAL SUPPLIES INC |
| Entity Type | Organization |
| Authorized Contact | RASHID AL-MEHDI President 313-469-2881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2024-05-02 |