NPI | 1144210378 |
---|---|
Entity Type | Organization |
Authorized Contact | JON CHRISTOPHER WILLIAMS Managing Partner 248-470-5486 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: MI C26313) |
335E00000X Prosthetic/Orthotic Supplier (Licence: MI CO002312) | |
Enumeration Date | 2005-10-27 |
Last Update Date | 2023-04-04 |