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Organization

MEDLIFE DME, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MANIVANAN ALAGERSWAMY (PRESIDENT)
(248) 994-0657
Entity
Organization

Contact information

Practice address
28423 ORCHARD LAKE RD, SUITE 206, FARMINGTON HILLS, MI 48334-2971
(248) 994-0657
(248) 994-0658
Mailing address
28423 ORCHARD LAKE RD, SUITE 206, FARMINGTON HILLS, MI 48334-2971
(248) 994-0657
(248) 994-0658

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary

Other

Enumeration date
04/01/2009
Last updated
04/01/2009
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