| NPI | 1700937836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY ALLEN PIERCE Co Owner 231-487-0998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2013-12-18 |