Organization
WAYNE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMAR A. GHOSN (OWNER/MANAGER)
(313) 908-4510
Entity
Organization
Contact information
Practice address
26808 SIMONE ST., DEARBORN HTS., MI 48127
(313) 903-5151
(313) 908-4510
Mailing address
26808 SIMONE ST., DEARBORN HTS., MI 48127
(313) 903-5151
(313) 908-4510
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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