| NPI | 1609939925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE M IWANOW President 586-263-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 3501000203) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MI 350L000203) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2011-02-24 |