Organization
SUPPLIES PLUS MI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT SUPER DC (PRESIDENT)
(917) 449-7582
Entity
Organization
Contact information
Practice address
24901 NORTHWESTERN HWY STE 315, SOUTHFIELD, MI 48075-2207
(917) 449-7582
Mailing address
201 4TH ST S UNIT 241, SAINT PETERSBURG, FL 33701-4299
(917) 449-7582
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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