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Organization
UP SUPERIOR ENTERPRISES, INC
Active
Organization
UP SUPERIOR ENTERPRISES, INC
Active
Other names
Prescription Oxygen Service
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD ANTHONY GORDON (PRESIDENT)
(906) 632-2772
Entity
Organization
Contact information
Practice address
13534 STATE HIGHWAY 28, NEWBERRY, MI 49868
(906) 293-3556
(906) 293-8945
Mailing address
2650 I-75 BUSINESS SPUR, SAULT STE. MARIE, MI 49783
(906) 632-3772
(906) 632-0309
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
MI
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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