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Organization
MN GROUP INC
Active
Organization
MN GROUP INC
Active
Other names
Medic One Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL GLENN TALLEY (PRESIDENT OWNER)
(734) 946-4008
Entity
Organization
Contact information
Practice address
28111 NORTHLINE RD, ROMULUS, MI 48174-2829
(734) 946-4008
(734) 946-4872
Mailing address
PO BOX 7, TAYLOR, MI 48180-0007
(734) 946-4008
(734) 946-4872
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
382806532
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1975810
—
MI
Enumeration date
10/05/2005
Last updated
06/20/2008
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