# MEDSTAR, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124056296
- **Authorized official:** MRS. MICHELLE BOAL (BILLING SUPERVISOR)
- **Authorized official phone:** (586) 468-6510

## Contact information

- **Practice address:** 380 N GRATIOT AVE, CLINTON TOWNSHIP, MI 48036-3123
- **Practice address phone:** (586) 783-0510
- **Mailing address:** 380 N GRATIOT AVE, CLINTON TOWNSHIP, MI 48036-3123
- **Mailing address phone:** (586) 783-0510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 501035 | MI | Yes |

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 11/13/2019