Individual
MR. BERTRAM N NWAOPARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
34741 GRAND RIVER AVE, FARMINGTON, MI 48335-3315
(248) 471-4669
(248) 471-4899
Mailing address
34741 GRAND RIVER AVE, FARMINGTON, MI 48335-3315
(248) 471-4669
(248) 471-4899
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5398880001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4693619 (OOV. TYPE 8
—
MI
01
—
821915 (PROCARE)
DURABLE MEDICAL EQUIPMENT
MI
Enumeration date
01/19/2007
Last updated
08/06/2007
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