Organization
MOBILE RESPIRATORY AND ANCILLARY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOHNSON (OWNER)
(313) 926-1526
Entity
Organization
Contact information
Practice address
3330 FULLERTON ST, DETROIT, MI 48238-3317
(313) 926-1525
Mailing address
3330 FULLERTON ST, DETROIT, MI 48238-3317
Taxonomy
Speciality
Code
Description
License number
State
2278G1100X
General Care Certified Respiratory Therapist
Primary
—
—
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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