Organization
SUN MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL W POTTER (OWNER)
(317) 422-8185
Entity
Organization
Contact information
Practice address
1880 N 725 W, BARGERSVILLE, IN 46106-9002
(317) 422-8185
(317) 422-4722
Mailing address
1880 N 725 W, BARGERSVILLE, IN 46106-9002
(317) 422-8185
(317) 422-4722
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N/A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200160630A
—
IN
Enumeration date
11/07/2005
Last updated
06/26/2008
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