| 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 |