Organization
MIGUN BODY SENSE
Active
Organization
MIGUN BODY SENSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY I VANSICKLE (OWNER)
(989) 893-9480
Entity
Organization
Contact information
Practice address
904 WASHINGTON AVE, BAY CITY, MI 48708-5718
(989) 893-9480
(989) 893-9481
Mailing address
1614 19TH ST, BAY CITY, MI 48708-7400
(989) 893-9480
(989) 893-9481
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54-0-29-1070-0
BCBSN-MI
MI
Enumeration date
08/18/2005
Last updated
08/12/2008
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