| NPI | 1811294549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND HANSEN CEO 517-913-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2011-02-15 |