Organization
MASTERS MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLIE HEIKKINEN (PRESIDENT)
(517) 548-3800
Entity
Organization
Contact information
Practice address
6480 GRAND RIVER RD, BRIGHTON, MI 48114-7305
(517) 548-3800
(517) 548-3808
Mailing address
6480 GRAND RIVER RD, BRIGHTON, MI 48114-7305
(517) 548-3800
(517) 548-3808
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
ME-0155030
MI
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4365823
—
MI
01
—
540D703090
BCBS
MI
Enumeration date
11/05/2005
Last updated
07/21/2022
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