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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
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