| NPI | 1124373428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SANDRA GAGNON Medical Hair Loss 586-263-9968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MI 2701290519) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2012-07-23 |