Organization
ADVANCED MEDICAL SPECIALTIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A MILLER (MEMBER)
(574) 255-1290
Entity
Organization
Contact information
Practice address
236 W EDISON RD, SUITE F, MISHAWAKA, IN 46545-3184
(574) 255-1290
(574) 255-1523
Mailing address
236 W EDISON RD, SUITE F, MISHAWAKA, IN 46545-3184
(574) 255-1290
(574) 255-1523
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
07/18/2007
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