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Organization
AIE MARCUM BROTHERS PRODUCTS
Active
Organization
AIE MARCUM BROTHERS PRODUCTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BRYANT MARCUM (PRESIDENT/OWNER)
(740) 259-9531
Entity
Organization
Contact information
Practice address
1465-A MORRIS LANE, LUCASVILLE, OH 45648-0806
(740) 259-9531
(740) 259-9531
Mailing address
PO BOX 806, LUCASVILLE, OH 45648-0806
(740) 259-9531
(740) 259-9531
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2229743
—
OH
Enumeration date
06/09/2008
Last updated
06/09/2008
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