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Organization
GREAT LAKES HOME MEDICAL EQUIPMENT, INC.
Active
Organization
GREAT LAKES HOME MEDICAL EQUIPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IRFAN MAHMOOD (PRESIDENT)
(586) 779-3494
Entity
Organization
Contact information
Practice address
14200 E 11 MILE RD, WARREN, MI 48089-1467
(586) 779-3494
(586) 779-5474
Mailing address
14200 E 11 MILE RD, WARREN, MI 48089-1467
(586) 779-3494
(586) 779-5474
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2995414
—
MI
Enumeration date
05/08/2007
Last updated
09/11/2025
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