Organization
ATLANTIS MEDICAL EQUIPMENTS & SUPPLY COMPANY, LLC
Active
Organization
ATLANTIS MEDICAL EQUIPMENTS & SUPPLY COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHINWENDU IKE MBANUGO PH.D. (PRESIDENT /CEO)
(734) 266-0575
Entity
Organization
Contact information
Practice address
30900 FORD RD, SUITE F, GARDEN CITY, MI 48135-1892
(734) 266-0575
(734) 266-0971
Mailing address
30900 FORD RD, SUITE F, GARDEN CITY, MI 48135-1892
(734) 266-0575
(734) 266-0971
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4862749
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4862749
—
MI
Enumeration date
07/23/2006
Last updated
02/18/2008
Update your record
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