| NPI | 1912098047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC R CORNISH Partner 989-356-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI EC047605) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2012-12-11 |