Organization
DURAMAX MEDICAL SUPPLY, INC.
Active
Organization
DURAMAX MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA PHILLIPS (CEO/PRESIDENT)
(586) 601-9618
Entity
Organization
Contact information
Practice address
9427 CONANT ST, SUITE A, HAMTRAMCK, MI 48212-3689
(586) 601-9618
(860) 631-9618
Mailing address
9427 CONANT ST, SUITE A, HAMTRAMCK, MI 48212-3689
(586) 601-9618
(860) 631-9618
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6929950001
MEDICARE PTAN
MI
Enumeration date
04/26/2012
Last updated
03/13/2014
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