Organization
GOLD RUSH MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL RANDALL (DIRECTOR)
(248) 577-0506
Entity
Organization
Contact information
Practice address
20755 GREENFIELD ROAD, SOUTHFIELD, MI 48075
(248) 577-0506
Mailing address
20755 GREENFIELD ROAD, SOUTHFIELD, MI 48075
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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