| NPI | 1699855262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY K KLIMEK Business Administrator 231-796-5321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI G) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-07-21 |