Organization
IMPACT MEDICAL SUPPLY
Active
Organization
IMPACT MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE A MEALBACK (REPRESENTATIVE)
(989) 486-3668
Entity
Organization
Contact information
Practice address
1160 JAMES SAVAGE RD STE F, MIDLAND, MI 48640-6825
(989) 486-3668
(989) 835-1835
Mailing address
1160 JAMES SAVAGE RD STE F, MIDLAND, MI 48640-6825
(989) 486-3668
(989) 835-1835
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/07/2009
Last updated
01/24/2012
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