| NPI | 1578692307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROZELLE Owner 734-434-6246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2008-09-25 |