Organization
PROMED HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD MILLERMAIER MD (MEDICAL OFFICER)
(269) 552-2910
Entity
Organization
Contact information
Practice address
1241 W BROADWAY ST, THREE RIVERS, MI 49093-8319
(269) 273-9539
Mailing address
5943 STADIUM DR, SUITE 3, KALAMAZOO, MI 49009-3016
(269) 552-2836
(269) 552-2835
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/05/2006
Last updated
08/22/2020
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