| NPI | 1629037692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FRAUTTEN Owner 586-477-4535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2013-04-29 |