Organization
ST. MICHAEL'S MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA M GRAHAM (PARTNER)
(610) 377-3255
Entity
Organization
Contact information
Practice address
145 S 1ST ST, SUITE A, LEHIGHTON, PA 18235-2003
(610) 377-3255
(610) 377-3297
Mailing address
145 S 1ST ST, SUITE A, LEHIGHTON, PA 18235-2003
(610) 377-3255
(610) 377-3297
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021692440001
—
PA
Enumeration date
04/24/2008
Last updated
01/05/2009
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