NPI | 1518098276 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL F WENSON Owner CEO 248-476-8811 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-03-07 |
Last Update Date | 2011-08-15 |