| NPI | 1235163551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY SIGAL Manager 248-280-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-04-12 |