Organization
MIGUN S B G SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK RUSSELL (OWNER)
(248) 921-6659
Entity
Organization
Contact information
Practice address
3655 S BALDWIN RD, LAKE ORION, MI 48359-1506
(248) 921-6659
(248) 623-6848
Mailing address
3655 S BALDWIN RD, LAKE ORION, MI 48359-1506
(248) 921-6659
(248) 623-6848
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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