| NPI | 1669068482 |
|---|---|
| Doing Business As | PROMEDICA PHYSICIANS DURABLE MEDICAL EQUIPMENT |
| Entity Type | Organization |
| Authorized Contact | TANYA WINES Director 567-585-0422 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2023-12-06 |