Organization
CHARLES EDWARD PAVEY
Active
Organization
CHARLES EDWARD PAVEY
Active
Other names
MedCare Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES EDWARD PAVEY (PRESIDENT)
(586) 469-0622
Entity
Organization
Contact information
Practice address
18822 MONICA DR, CLINTON TWP, MI 48036-4204
(586) 469-0622
(586) 469-1392
Mailing address
18822 MONICA DR, CLINTON TWP, MI 48036-4204
(586) 469-0622
(586) 469-1392
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0396430001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3053527
—
MI
Enumeration date
08/29/2006
Last updated
09/16/2011
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