Organization
ADVANCE VISION MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH KAYE SALATKA (PRESIDENT)
(586) 573-9385
Entity
Organization
Contact information
Practice address
30856 GROESBECK HWY, B, ROSEVILLE, MI 48066-1580
(586) 573-9385
(586) 582-0165
Mailing address
30856 GROESBECK HWY, B, ROSEVILLE, MI 48066-1580
(586) 573-9385
(586) 582-0165
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3181705
—
MI
01
—
71020000E00162
OXYGEN
MI
Enumeration date
02/23/2006
Last updated
06/26/2008
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