Organization
MIDWEST D.M.E. SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMARJI GHUMAN (PRESIDENT)
(248) 538-8429
Entity
Organization
Contact information
Practice address
29226 ORCHARD LAKE RD, STE 160, FARMINGTON HILLS, MI 48334-2984
(248) 538-8429
(248) 538-8362
Mailing address
29226 ORCHARD LAKE RD, STE 160, FARMINGTON HILLS, MI 48334-2984
(248) 538-8429
(248) 538-8362
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4645756
—
MI
01
—
54-OF32237-0
BCBS
MI
Enumeration date
11/01/2006
Last updated
06/20/2018
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