| NPI | 1285182840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY ZIEGER Owner Provider 810-987-9871 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 4301072047) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |