| NPI | 1902996986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER N SLAN Owner 248-569-5106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 332B00000X) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2009-07-14 |