Organization
MANE MEDICAL EQUIPMENT & SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ENENE OKON IBAN (PRESIDENT AND CEO)
(248) 557-2898
Entity
Organization
Contact information
Practice address
25511 SOUTHFIELD RD, SUITE 120, SOUTHFIELD, MI 48075-1856
(248) 557-2898
(248) 557-2899
Mailing address
25511 SOUTHFIELD RD, SUITE 120, SOUTHFIELD, MI 48075-1856
(248) 557-2898
(248) 557-2899
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
B-
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4788015
—
MI
Enumeration date
03/26/2006
Last updated
07/21/2022
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