| NPI | 1700364965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W PRIESKORN Owner 248-381-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |