| NPI | 1154305993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND MACZIK President / Owner 989-746-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2021-09-21 |