Organization
DIATIC MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN DENHOLM (OWNER)
(248) 210-5937
Entity
Organization
Contact information
Practice address
1857 WASHINGTON BLVD, BIRMINGHAM, MI 48009-4160
(248) 210-5937
Mailing address
1857 WASHINGTON BLVD, BIRMINGHAM, MI 48009-4160
(248) 210-5937
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/13/2009
Last updated
05/24/2010
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