| NPI | 1508066853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BROZOVICH Owner 734-591-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-11-14 |