| NPI | 1487892436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN JAMES LANDRA President 734-242-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MI ame-0163611) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI ame-0163611) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2010-01-19 |