Organization
JUSTICE MEDICAL SOURCE,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH T DANNA (OWNER)
(248) 212-6625
Entity
Organization
Contact information
Practice address
725 THURBER DR, TROY, MI 48085-4887
(248) 212-6625
Mailing address
725 THURBER DR, TROY, MI 48085-4887
(248) 212-6625
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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