Organization
MIKE MEDICAL SUPPLY INC
Active
Organization
MIKE MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANOJ KUMAR VELAGANDULA (CEO)
(248) 934-0563
Entity
Organization
Contact information
Practice address
15565 NORTHLAND DR E STE 812, SOUTHFIELD, MI 48075-5329
(248) 934-0563
Mailing address
15565 NORTHLAND DR E STE 812, SOUTHFIELD, MI 48075-5329
(248) 934-0563
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/06/2020
Last updated
12/06/2020
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