Organization
MMSI LLC
Active
Other names
Creative Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY NEIL MARTIN (PRESIDENT)
(248) 388-2251
Entity
Organization
Contact information
Practice address
3324 GLADE ST, MUSKEGON, MI 49444
(231) 739-4414
(616) 361-2277
Mailing address
3324 GLADE ST, MUSKEGON, MI 49444
(231) 739-4414
(616) 361-2277
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
530D106000
BCBS
MI
01
—
900003013
PRIORITY HEALTH
MI
05
—
APPLIED FOR
—
MI
Enumeration date
03/28/2006
Last updated
09/02/2008
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