Organization
ACTIVE MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C IVERSON (PRESIDENT)
(248) 895-3978
Entity
Organization
Contact information
Practice address
28003 CENTER OAKS COURT, SUITE 101, WIXOM, MI 48393-3345
(248) 895-3978
Mailing address
6356 ODESSA DR, WEST BLOOMFIELD, MI 48324-1360
(248) 895-3978
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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