Organization
AEN SPORTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY DOIG (OWNER)
(248) 921-5363
Entity
Organization
Contact information
Practice address
40417 BEECHWOOD CT, NORTHVILLE, MI 48168-3418
(248) 921-5363
Mailing address
40417 BEECHWOOD CT, NORTHVILLE, MI 48168-3418
(248) 921-5363
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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