Organization
PHYSICIANS TECHNOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN GERARD FIEMA CPA (CFO)
(734) 241-5060
Entity
Organization
Contact information
Practice address
23 E FRONT ST STE 200, MONROE, MI 48161-2210
(734) 241-5060
Mailing address
23 E FRONT ST STE 200, MONROE, MI 48161-2210
(734) 241-5060
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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