| NPI | 1477847564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN D WITTENBERG President 231-347-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 4301054711) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |