| NPI | 1487803201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD A SKIBA Owner 989-356-9096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI GS003032) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2011-02-22 |