Organization
UP SUPERIOR ENTERPRISES, INC
Active
Other names
Prescription Oxygen Service
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD ANTHONY GORDON (PRESIDENT)
(906) 632-2772
Entity
Organization
Contact information
Practice address
13534 STATE HIGHWAY 28, NEWBERRY, MI 49868
(906) 293-3556
(906) 293-8945
Mailing address
2650 I-75 BUSINESS SPUR, SAULT STE. MARIE, MI 49783
(906) 632-3772
(906) 632-0309
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
MI
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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