| NPI | 1386982635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE TOOMA Manager 586-726-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2018-11-14 |