| NPI | 1457886996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L POPPEMA Billing Supervisor 231-739-1916 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2024-02-06 |