Organization
METRO MED CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VITALIY GRYTSYUK (CFO)
(248) 495-5339
Entity
Organization
Contact information
Practice address
27224 SOUTHFIELD RD, SUITE 8, LATHRUP VILLAGE, MI 48076
(248) 443-0008
(248) 232-1583
Mailing address
27224 SOUTHFIELD RD, SUITE 8, LATHRUP VILLAGE, MI 48076
(248) 443-0008
(248) 232-1583
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4987654
—
MI
01
—
54-0-F3-3661-0
BLUE CROSS/BLUE SHIELD
MI
Enumeration date
10/02/2006
Last updated
07/27/2007
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