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Individual

MRS. RUTH SHARP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
811 N MACOMB ST, MONROE, MI 48162-2929
(734) 523-6928
Mailing address
2845 CROOKS RD, ROCHESTER HILLS, MI 48309-3661
(248) 829-8200

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
L777466
MI
332BC3200X
Customized Equipment (DME)
L777466
MI
335E00000X
Prosthetic/Orthotic Supplier
Primary
L777466
MI

Other

Enumeration date
07/18/2016
Last updated
07/18/2016
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